In order to support the transition from fee for service to value-based care, we will be introducing a 1.5% allocation from commercial PPO professional fees to fund the commercial PPO Blueprint provider risk arrangements. This allocation will be offset by overall fee schedule increases as of July 1, 2023. This increase will be used to fund the Blueprint program’s efforts to incentivize and reward providers for successfully managing their patients’ health through the delivery of quality outcomes while managing their attributed population’s cost performance. Funding the commercial PPO Blueprint incentives through the professional fee schedule remains a consistent mechanism of leveraging customer dollars for provider-based incentive programs.
To support communication efforts with your member practitioners, we are providing:
A turn-key letter explaining the Blueprint allocation that you can modify to support your communications efforts with your physician members.
A Frequently Asked Questions document to help you and your staff answer practitioner questions.
These items will be posted to the PGIP collaboration site as well. We will post an announcement as soon as they are available.
If you have any questions regarding these communications, please submit an issue through the PGIP Collaboration site under the category “Blueprint Allocation” or email Valuepartnerships@bcbsm.com