Prior Authorization and Tiering

Year: 2016

Resolution Number: 83

Action Taken: Referred to the Board

Status: Refer to Committee/Workgroup

Author(s): Deborah Duncan, MD

Sponsor: Deborah Duncan, MD

On behalf of: Genesee County Delegation

Committee: A (Medical Care Delivery)

Resolved Section(s):
RESOLVED: That MSMS engage Blue Cross Blue Shield of Michigan in discussions about the possibility of removing pre-authorization requirements for ordering tests and procedures for those physicians receiving the maximum uplift for their specialty under the Physician Group Incentive Program as these physicians have already demonstrated their ability to practice high quality medicine, while appropriately controlling costs.

Fiscal Note: NULL

Resolution: View PDF for Prior Authorization and Tiering

For More Information, Contact:

Stacie Saylor , Manager
Health Care Delivery
517-336-5732
ssaylor@msms.org