Plan Name
Programs Offered
Medicare Shared Savings
Traditional Medicare
Avg. 2019 PCP Distribution $35,000
Avg. 2019 SPC Distribution $6,000
Physician Group Incentive Program (PGIP)
BCBSM - PPO
Patient-Centered Medical Home: A set of 12 initiatives that promote high-quality care for all patients
Provider-Delivered Care Management: Care management
services delivered by a health care professional who works in a PCMH office
Blue Care Network
Medicare Advantage Commercial HMO
(PCP ONLY)
Commercial Group Fee-For-Service participation with no withholds or risk and sharing of performance recognition program (PRP) incentives
Commercial Individual (Metro Detroit product line) Fee-ForService participation with limited risk sharing *Risk is limited to a 10% withhold
Medicare Advantage participation offers an upside
only risk sharing model and PRP incentives
Aetna Better Health
Medicaid HMO
AmeriHealth
MI Health Link
Medicaid HMO
Blue Cross Complete
Medicaid HMO
Shared Savings Program Opportunity
Priority Health
Medicare Advantage
Commercial PPO
Shared Savings Program Opportunity
Priority Health Beaumont Narrow Network
Commercial HMO
Access to the Beaumont Health Narrow Network Per Member Per Month and shared savings incentive opportunities
HAP
Medicare Advantage Commercial HMO
McLaren
Medicare Advantage
Medicaid HMO
Commercial HMO & PPO
Meridian
Medicare Advantage
Medicaid HMO
MI Health Link
Commercial HMO
Value Based Quality Bonus Program
Michigan Complete Health
Medicare Advantage
MI Health Link
Molina
Medicare Advantage
Medicaid HMO
MI Health Link
Commercial HMO & PPO