News

Persivia’s CareSpace TM will assist McLaren to achieve even greater success in our value-based care models. The platform combines care coordination, real-time quality and utilization analytics and reporting, enhanced patient and provider engagement, and bundle payment management tools. Here are some of the clinical functionality we will realize following implementation: Automated Care Coordination work flows to improve efficiencies; allowing staff to spend more time managing patients Risk stratification...

PCP Value Based Reimbursement (VBR) & 2019-2020 Patient Centered Medical Home (PCMH) Designations The BCBSM Value-Based Reimbursement (VBR) program provides for fee schedule uplifts for PCMH, quality performance, cost, and provider delivered care management (PDCM), up to a total of 150% of the fee schedule. PCMH 15% Quality 5%-15% Cost 10% PDCM 5% Advanced PDCM 5% _____ Total = 150% Key Achievements: 89% of MPP’s participating primary care physicians are eligible for a VBR 21% received a VBR for exc...

McLaren Physician Partners (MPP) provides two physician update presentations annually. Historically, attendance at these meetings was required to receive 10 points on the Clinical Integration (CI) scorecard for Specialist Physicians. We understand that there are a multitude of reasons why one may not be able to attend a live presentation. In an effort to adopt a digital strategy, become more user friendly, and to accommodate physicians’ busy schedules, we are presenting our biannual updates via live web...

McLaren High Performance Network, LLC received a perfect MIPS score of 100 out of 100 for performance year 2018. This score was calculated based on performance in Quality, Advancing Care Information, and Improvement Activities. CMS categorizes any score greater than 70 as exceptional performance. Based on this performance, eligible providers in the McLaren High Performance Network will receive a 1.68% positive payment adjustment in Calendar Year 2020. The 2020 MIPS payment adjustments vary between -5% a...

MPP is pleased to announce a new Medicare Advantage HMO agreement has been signed with Reliance ACO. Our includes McLaren hospitals and active MPP providers in the following regions: McLaren Flint McLaren Lapeer McLaren Macomb McLaren Oakland McLaren Port Huron Karmanos Cancer Center The new contract with Reliance is effective January 1, 2020. Pursuant to your Master Membership Agreement with MPP, active members will be included in the provider network unless written notification of your intent to opt o...

MPP is pleased to announce a new Gain Sharing Agreement has been signed with Humana. We have expanded our existing MPP agreement for Medicare Advantage to include all regions. Our current agreement now includes all McLaren hospitals and active MPP providers in the following regions: McLaren Bay and Bay Special Care (LTACH) McLaren Caro McLaren Central McLaren Flint McLaren Greater Lansing McLaren Lapeer McLaren Macomb McLaren Oakland McLaren Northern McLaren Port Huron McLaren Thumb Region Karmanos Canc...

McLaren Physician Partners (MPP) is pleased to announce the release of the MPP Clinical Integration Payment 2 of 2 for 2018. This payment is based on physician performance on quality measures and value-based payments received from August 2018-January 2019. The total distribution amount is $3,167,210. As we transition to value-based payments, our top performing physicians have received the following in the 2018 Payment 2: Summary of MPP 2018 Payment 2 Max Min Median PCP $33,187 $100 $4,942 SPC $1,191 $65...

MPP received a request for help from one of our members in delivering the message of why it is important to use the McLaren network. Patients are asking why it is beneficial for them to stay within our network. In response, we have created a patient-facing flyer that addresses reasons why patients should stay within the McLaren network. Excerpts from the flyer include the following: Getting your care from a McLaren provider helps me (your provider) provide you with the best quality care possible. One of...

McLaren Physician Partners (MPP) and McLaren High Performance Network, LLC (MHPN) have continued an exciting Care Management expansion over the past quarter. In addition to Patient Navigators, we now also have Registered Nurse Care Managers and two Masters prepared Social Workers on board to help connect your patients to the appropriate level of assistance. As a department, our goal is to improve the overall quality of care and outcomes while reducing avoidable utilization.  Our Care Coordinators p...

The Blues of Michigan have released the results of the Specialist VBR program.  This program comes through the Physician Group Incentive Program (PGIP), administered by McLaren Physician Partners.  We are pleased to share that 404 specialists were awarded the VBR in 2018 through this program, an increase of 113 specialists from last year!  Physicians participating in PGIP through MPP earned $5 million in VBR revenue in calendar year 2016.  The PGIP ranks participating specialists int...