Blue Shield and Physician Payments Withhold

Year: 2012

Resolution Number: 56

Action Taken: Referred to the Board

Status:

Author(s): Mohammed Arsiwala, MD

Sponsor: Dorothy Kahkonen, MD

On behalf of: Wayne County Delegation

Committee: A (Medical Care Delivery)

Resolved Section(s):
RESOLVED: That MSMS ask Blue Cross Blue Shield of Michigan (BCBSM) to disclose on the BCBSM web site the Reward Pool Accrual from the Physician Group Incentive Program; and be it further RESOLVED: That MSMS ask Blue Cross Blue Shield of Michigan (BCBSM) to disclose on the BCBSM web site the method or formula for payment distribution of PGIP dollars to physician organizations; and be it further RESOLVED: That MSMS ask Blue Cross Blue Shield of Michigan (BCBSM) to stop the practice of discounting the 4.2% from physician reimbursement to primary care physicians and specialist physicians who do not participate in PGIP; and be it furtherRESOLVED: That MSMS ask Blue Cross Blue Shield of Michigan (BCBSM) to demonstrate the claim that PGIP improves the lives of participants in the State of Michigan and BCBSM’s charitable mission. (See Resolution 65-12)

Fiscal Note: NULL

Resolution: View PDF for Blue Shield and Physician Payments Withhold