News

November 18, 2025   BCBSM and BCN Commercial and Medicare Advantage Contracts Update MPP (McLaren Physician Partners) has made the decision not to participate in the BCBSM Blueprint model which requires downside risk on commercial or Medicare Advantage patients.   MPP will continue to participate in the Commercial and Medicare Advantage products, the change is there will be no upside gainsharing with BCBSM and BCN effective January 1, 2026. BCN payment withholds of 25% will be eliminated . Oth...

November 11, 2025   McLaren ACO 2024 Results   McLaren High Performance Network ACO (MHPN) has been operating since 2017, and Performance Year 2024 is the first time we have exceeded our allotted claims and utilization expenditures benchmark and are required to pay CMS back for those excess dollars. Collectively, our providers spent $10M more than the CMS benchmark and MHPN is required to repay $3M.Although we are extremely disappointed by our performance, we are committed to making changes to...

November 4, 2025   Clinical Integration Payment 1 for 2025   McLaren Physician Partners (MPP) is pleased to announce the release of the MPP Clinical Integration (CI) Payment 1 of 2 for 2025. This payment is based on physician performance on cost and quality measures and includes value-based payments received from February 2025 to August 2025.   The total distribution amount is $ 5.6 million. This represents an increase of$2.2 million over the last CI Payment 2 of 2024.   Distribution...

August 28, 2025 MPP KEY STAFF MEETING   McLaren Physician Partners (MPP) provides Virtual Key Staff presentations quarterly.    Please join us for our next live webinar:    Wednesday, September 17th, 2025 12:00 PM    Please invite any staff who would benefit from the information being presented.   Best Practices and Topics to be discussed include:   MPP Updates: It Always Seems Impossible Until It’s Done. Tip Tuesdays HPV/Flu Vaccines Diabetic Retinal Eye Exa...

August 12, 2025   Inpatient Code Use in an Outpatient Setting   Coding quality reviews have identified some use of inpatient-only diagnosis codes in outpatient encounters, mainly during hospital follow up visits. These practices may lead to compliance risks and inaccurate reporting. Why This Matters Using inpatient-only codes in the ambulatory setting creates significant compliance risks. These codes are considered red flags by payers, including CMS, because they imply the presence of conditio...

August 7, 2025   Meridian Contract Expansion   MPP is pleased to announce a new systemwide Agreement has been executed with Meridian.   We have expanded our existing MPP relationship to include all products in all regions. This includes: Medicaid (Meridian) MI Health Link (Meridian Complete) Medicare Advantage (Wellcare) DSNP/HI DE SNP (Wellcare)   This expansion includes all regions for full systemwide participation of all McLaren hospitals and active MPP clinicians: McLaren Bay McL...

August 5, 2025   Molina Medicaid Contract Expansion with McLaren   MPP is pleased to announce a new systemwide Agreement has been executed with Molina. We have expanded our existing MPP relationship to include Medicaid for all regions. This expansion adds the following regions for full systemwide participation of all McLaren hospitals and active MPP clinicians, including employed effective June 1, 2025: McLaren Central McLaren Greater Lansing McLaren Lapeer McLaren Northern If you would like m...

July 29, 2025   United Healthcare (UHC) Contract with McLaren   MPP is pleased to announce a new agreement has been signed with United Healthcare.   This is a systemwide agreement which includes all McLaren facilities and all active MPP providers, including employed. The new contract with UHC is effective June 1, 2025 for Medicaid and October 1, 2025 for Medicare Advantage and DSNP.   If you would like more information regarding this contract, please contact Rachel A. White, MPP Vice...

July 1, 2025   Molina Medicaid Expansion with McLaren   MPP is pleased to announce a new systemwide Agreement has been executed with Molina. We have expanded our existing MPP relationship to include Medicaid for all regions.   This expansion adds the following regions for full systemwide participation of all McLaren hospitals and active MPP clinicians:   McLaren Central McLaren Greater Lansing McLaren Lapeer McLaren Northern   The new contract amendment with Molina is effective ...

June 19, 2025   Coding Resources Now Available on MPP Website   MPP is pleased to announce a new section on our website dedicated to coding resources - designed to support your clinical documentation and coding accuracy.   This new section includes:   HCC Coding Guides by Condition HCC Coding Guides by Specialty Educational Videos: Video – HCC/Risk Adjustment Coding – CQDOC Video – Primary Care Population Health HCC Education 2025 Video – Stanson HCC Coding and Diagnosis Recapture Vi...