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March 2018
You can join our Physician Group Incentive Program as an organized system of care
About PGIP
Now in its 13th year, PGIP is an innovative provider program developed with input from physicians across Michigan to help improve the quality and efficiency of health care in the state. PGIP facilitates change through nearly 20 initiatives, including our nationally-recognized Patient-Centered Medical Home program. It offers incentives to participating physicians, physician organizations and organized systems of care for improving health care delivery.
About physician organizations
A PGIP physician organization consists of physicians working together to:
- Transform systems of care to effectively manage patient populations
- Build infrastructure needed to optimize, measure and monitor quality of care
Physician organizations promote collaborative relationships and support the most cost-effective delivery of services while optimizing patient outcomes.
About organized systems of care
An organized system of care is a community of caregivers with a shared commitment to quality and cost-effective health care delivery for a defined population. These caregivers have a shared commitment to:
- Deliver quality and cost-effective health care for a specific population
- Provide care and treatment to a patient population attributed to the community’s primary care physicians
- Join forces with one or more hospitals and other entities to share collective responsibility for a specific population of patients
We encourage our participating network physicians and organized systems of care to get involved in the Physician Group Incentive Program, which has been improving the quality and efficiency of health care in Michigan for more than a decade. Here’s the criteria:
Network primary and specialty care physicians
- Can only join as part of a PGIP physician organization, and must be affiliated with a PGIP physician organization to be a member of an organized system of care
- Should contact a PGIP-participating physician organization directly to discuss specific membership criteria. Here’s a current list of the more than 40 PGIP physician organizations. (Each physician organization has its own criteria for membership. A physician can only be a member of one physician organization for the purposes of PGIP.)
To participate in PGIP, a network physician must:
- Participate in the Blue Cross PPO, TRUST or Traditional lines of business
- Be in good standing with the network
- Be a medical doctor, doctor of osteopathy, doctor of chiropractic or doctor of podiatric medicine. Fully licensed psychologists are also eligible to participate in the program.
If you’re a physician with questions about PGIP, contact your provider consultant at bcbsm.com/providers in the Contact Us section.
OSCs
- Blue Cross will accept applications from new OSCs through April 30, 2018.
- OSCs that apply before the April 30, 2018, deadline will be eligible to participate in PGIP’s new PPO risk program for OSCs starting in 2019. Check out future editions of The Record for more information on the new PPO risk program for OSCs.
If you represent an OSC and would like to join PGIP, send an email to valuepartnerships@bcbsm.com. Want more details? Check out the following webpages.
To learn more about PGIP, check out our bcbsm.com and valuepartnerships.com websites. | 
