Earlier this month the Michigan Value Collaborative (MVC) distributed mid-year scorecards for Program Year (PY) 2026 of the MVC Component of the Blue Cross Blue Shield of Michigan (BCBSM) Pay-for-Performance (P4P) Program. PY 2026 marks the first year of the two-year (PY 26-27) P4P cycle, and includes Medicaid claims as well as the newly introduced health outcome variation measure in the scoring. This report provided hospitals with their current standing for PY 2026.
Each participating hospital received a mid-year score out of a total of 10 points, including 0 to 3 points for their selected total episode payment metric, 0 to 4 points for their selected value metric, 0 to 1 point for health outcome variation measure and 0 to 2 points for completed eligible engagement activities. PY 2026 scores achievement and improvement points for each metric using index admissions from 2025 performance year data against admissions in 2023 as the baseline year. Hospitals are awarded the higher of their achievement and improvement point scores.
The performance data timeframes included in mid-year PY 2026 scoring were index events 1/1/2025 – 12/31/2025 for BCBSM PPO Commercial, BCBSM Medicare Advantage (MA), BCN HMO Commercial, BCN HMO MA, Medicaid and index events from 1/1/2025 – 6/30/2025 for Medicare FFS. For the health outcome measure, the performance data included were index events from 1/1/1015 – 6/30/2025 to reflect the most recent date range for all payers. The engagement points accrued represent all completed activities from 1/1/2026 – 9/2/2026. All scores are subject to change in the final scorecards as the remaining 2025 performance data becomes available and additional 2026 P4P engagement activities are completed and recorded for this year.
Figure 1 illustrates the current distribution of total points out of 10 across the collaborative. The average points scored across the mid-year scorecards was 5.2 out of 10 and ranged between 0.5 and 10 points. This average is 1.5 points lower than the average points scored at the conclusion of PY 2025.
Figure 1. PY26 Mid-Year Distribution of Total Points Out of 10 Across the Collaborative
Figure 2 illustrates the breakdown of scoring on average by each program component (i.e., episode spending metric, value metric, health outcome variation measure and engagement points). Hospitals could earn up to three points for their episode spending, four points for their value metric selections, one point for health outcome variation measure and up to two points for engagement activities completed in 2026. Across collaborative, the average points scored for episode spending and value metrics were 1.0 point, and 2.2 points respectively. For the newly introduced health outcome variation measure, the average was 0.6 points and the average for engagement activities was 1.4 points.
Figure 2. PY26 Mid-Year Scoring on Average by Each Program Component
Figure 3 illustrates the breakdown of the average points by episode spending conditions. Coronary Artery Bypass Grafting (CABG) and Congestive Heart Failure (CHF) were both the highest scoring episode spending conditions with an average of 1.3 points, and this was followed by chronic obstructive pulmonary disease (COPD) with 1 point. The lowest scoring episode spending condition was pneumonia with hospitals earning 0.4 points on average.
Figure 3. PY26 Mid-Year Average Points by Episode Spending Conditions
Figure 4 illustrates the breakdown of average points by value metrics. Consistent with PY 2025, the highest scoring value metric was preoperative testing with 3.5 points, followed by 90-day cardiac rehabilitation after CABG with 3.0 points. All follow up metrics had an average score of below 2 points with the lowest scoring value metric being 14-day follow up after COPD with 1.1 points.
Figure 4. PY26 Mid-Year Average Points by Value Metrics
These PY 2026 P4P mid-year scores are subject to change as new data is added. The final scores will be distributed after all 2025 claims are incorporated into the calculations. The full methodology for this program cycle can be found in the PY2026-2027 technical document. Hospitals can also track their score via the P4P PY 2026-2027 dashboard reports on the MVC registry, which provides all relevant scoring information for both improvement and achievement points. These registry reports can be filtered by selected conditions/metrics to make tracking of P4P points easier. You can also contact the MVC Coordinating Center by email for a walkthrough of your hospital’s PY 2026 mid-year scorecard or P4P registry reports.
