Managed Care Incentive Programs
PMC has contracts with more than 10 health plans that provide generous incentives aimed at improving the quality, efficiency, and overall value of health care.
Blue Cross Blue Shield of Michigan (BCBSM)
Physician Group Incentive Program (PGIP)
The BCBSM PGIP supports and facilitates practice transformation using a wide variety of initiatives to reward physician organizations for improved performance in health care delivery.
Patient-Centered Medical Home (PCMH)
PCMH is a health care model led by a primary care physician that focuses on the health needs of each patient, coordinates patient care across all settings, and provides enhanced access to care.
PCMH – Neighbor Program (PCMH-N)
The Patient-Centered Medical Home – Neighbor Program (PCMH-N) works collaboratively with the PCMH care model and encourages specialists to adopt practices and capabilities in line with the PCMH. A PCMH-N practice engages in processes that ensure effective coordination and integration with PCMH practices, ensures efficient flow of information, and supports enhanced access to patient-centered, high-quality care.
Blueprint for Affordability
A value-based shared-risk contract through BCBSM that emphasizes population health management to lower cost of care, increase quality performance, and increase patient satisfaction.
Provider Delivered Care Management (PDCM)
BCBSM has partnered with the Michigan Institute for Care Management and Transformation (MiCMT) to support a statewide strategy to engage patients with chronic conditions through patient care teams.
Centers for Medicare & Medicaid Services (CMS)
Health Information Exchange (HIE)
HIE allows health- and medical care-related information to be shared and accessed among healthcare physicians, ensuring vital medical records are available regardless of where the patient receives care.
PMC Health Plan Contracts
PMC manages contracts with 10+ health plans for over 32 health products. For more information, please contact your PMC Consultant.
Blue Cross Blue Shield of Michigan
- Medicare Advantage PPO
Blue Care Network (BCN)
- BCN Commercial
- BCN Advantage
Blue Cross Complete
- Medicaid
Health Alliance Plan (HAP)
- Commercial HMO
- Medicare Complimentary
- PPO
- POS
- Medicare Advantage
- HMO Senior Plus
- ASO
- HAP Empowered (Medicaid)
Humana
- HMPO
- PPO
- PFFS
McLaren
- Commercial
- Medicaid
- Health Advantage (PPO)
- McLaren Health Advantage
- Employed
- POS – Community Commercial
- Medicaid
Meridian
- Meridian Medicaid
- WellCare Medicare
- Meridian Complete
Molina
- Medicaid
- Medicare
Priority Health
- HMO
- PPO
- Medicare
- Medicaid
USA Managed Care
- H&W (PPO)
- HMO
- Medicare Advantage
- Medicare Select
Contact us at (800) 594-6115 for detailed information about our Managed Care Incentive Programs.
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