MSMS Board Discusses Blues, Preparedness & ASM at Midsummer Meeting

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MSMS Board Discusses Blues, Preparedness & ASM at Midsummer Meeting

Wednesday, July 22, 2015

The MSMS Board of Directors discussed Blue Cross issues, emergency preparedness, and the Annual Scientific Meeting among other topics at is Midsummer Board meeting at MSMS Headquarters in East Lansing on July 17.

Thomas L. Simmer, MD, Vice President and Chief Medical Director, Blue Cross Blue Shield of Michigan, presented his annual report to the Health Care Delivery Committee. Issues regarding the PGIP program were discussed in detail.

Doctor Simmer noted that:

  • All specialties will be eligible for the uplifts in 2016. Specialists must be nominated by their PO. Criteria vary by POs, but center on the PCMH neighborhood theme. Tiered fees are paid to practices directly and do not come out of the PGIP pool.
  • PGIP will continue to focus on driving value and quality, especially as it relates to HEDIS measures and the Stars rating system. Additionally, improvements are being made to utilize quality measures rather than basing the uplifts solely on cost.
  • There are currently 19,000 providers in PGIP, including 4,349 primary care physicians designated as PCMH.
  • Of the 12,779 specialists in PGIP, 90 percent were nominated. Approximately 50 percent received a 5 or 10 percent increase.

The Committee expressed its appreciation of the relationship with BCBSM and its willingness to take physician input to the PGIP program. The Committee recommended also utilizing health outcomes rather than just utilization metrics to measure the success of PGIP. Other items that generated dialogue included the state Health Information Exchange, data collection, and the importance of physicians to be able to have collegial conversations with each other about improving patient care.

Annual Scientific Meeting

The Board was informed by the MSMS Annual Scientific Meeting Planning Committee that this year’s ASM will host 32 courses and has several new features including new course times with earlier evening sessions; a free leadership training session on Tuesday evening; afternoon plenary sessions on Wednesday and Thursday; and a new Interactive Saturday case study session. During the five days, physicians can earn up to 28.75 AMA Category 1 Credits™ on Tuesday, October 20, through Saturday, October 24, at the Somerset Inn, Troy. For more information and to register, go to www.msms.org/Education/AnnualScientificMeeting.aspx

Emergency Preparedness

Two speakers from state government discussed "Public Health Preparedness & the Strategic National Stockpile" with the Scientific and Educational Affairs Committee. Jennifer Lixey, Emergency Medical Countermeasure State Coordinator, Office of Public Health Preparedness, Michigan Department of Health and Human Services, presented on the Michigan Bureau of EMS, Trauma, and Preparedness.

The division serves to protect the health of Michigan citizens before, during, and after an emergency through the integration of public health and medical preparedness initiatives and by leveraging diverse partnerships. These activities encompass all hazards including natural and man-made disasters, acts of bioterrorism, infectious disease outbreaks, and other emergencies that impact the health of the public.

In addition, Ms. Lixey presented an overview of the Strategic National Stockpile, which is comprised of pharmaceuticals, vaccines, medical supplies, and medical equipment that was created to augment any exhausted state and local resources. Ms. Lixey highlighted the storage, inventory management, distribution, dispensing, and security processes of the program.

Virginia Zimmerman, Coordinator, Michigan Volunteer Registry and Medical Reserve Corps, Division on Emergency Preparedness and Response, highlighted volunteer opportunities within the Michigan Volunteer Registry. For more information, go to www.mivolunteerregistry.org.