11 Nov 2026
Off
View Post
Highlights from MVC’s Third Quarter Newsletter

Highlights from MVC’s Third Quarter Newsletter

November 11, 2026 | Comments Closed | , , , , ,

The Michigan Value Collaborative (MVC) had a busy third quarter of 2026, with new data and reporting resources, expanded value-based improvement efforts, and continued opportunities to connect with members across Michigan. MVC's latest quarterly newsletter, distributed at the end of October, brings together these updates and more. For those who missed the newsletter or aren't yet subscribed to the MVC mailing list, here are a few highlights from the July-September 2026 issue:

One of the quarter's key highlights was its collaborative-wide meeting on Oct. 9 in Livonia, bringing together 87 attendees representing 55 hospitals, 13 multi-hospital systems, and five physician organizations. Under the theme Unlocking Data for QI Impact: Translating Insights into Action, the meeting explored how organizations can use MVC data to identify opportunities, inform improvement strategies, and translate performance insights into meaningful action. The newsletter includes a link to the meeting recap.

Another significant update this quarter was the introduction of MVC's new Systems Value-Based Initiative (VBI). Building on MVC's established hospital-level improvement framework, the new initiative extends value-based improvement efforts across entire healthcare systems. By examining performance across system members, MVC aims to help identify variation, share successful practices, and support quality improvement at a broader scale.

MVC also shared several important updates related to the MVC Component of the Blue Cross Blue Shield of Michigan (BCBSM) Pay-for-Performance (P4P) Program. The newsletter highlights that hospitals received their PY2026 mid-year scorecards, marking the first year of the new two-year P4P cycle (PY2026–2027). In addition, MVC published its fifth annual Qualified Entity Certification Program (QECP) public report, which presents aggregated, unidentified data on Michigan hospital performance related to 30-day rehospitalizations following the start of home health care and outpatient follow-up after hospitalization for congestive heart failure or chronic obstructive pulmonary disease. MVC also hosted P4P webinars to discuss the health outcome variation measure and introduce new registry reports for the PY26/27 cycle.

New data and reporting resources were another focus of the quarter. In September, MVC's registry was updated with new payer data, along with the new P4P registry reports. MVC also distributed push reports focused on cardiac rehabilitation and common conditions in September and October, respectively, providing members with additional opportunities to review performance and identify areas for quality improvement.

Beyond data and reporting, MVC continued to bring members together through clinical workgroups, educational programming, and networking opportunities. Quarterly workgroup sessions covered a range of clinical and quality improvement topics, with presentation recaps and materials available through MVC's monthly workgroup blogs. In October, MVC also hosted a networking dinner ahead of its collaborative-wide meeting, giving members an opportunity to build connections and exchange ideas outside of the formal meeting program.

Looking ahead, MVC is seeking member presenters for 2027 events. Hospitals interested in sharing their quality improvement experiences and lessons learned can submit presentation proposals on a rolling basis, with accepted presentations eligible for 0.5 P4P engagement points toward PY27. The newsletter also includes information about upcoming workgroups, site coordinator education modules, and site visits in 2027.

These highlights offer just a glimpse of MVC's recent work and ongoing collaboration with members. Read the full Q3 2026 newsletter for additional updates, resources, upcoming events, and ways to get involved.

Not currently receiving MVC's quarterly newsletter? Subscribe to the MVC mailing list to stay up to date on new resources, program announcements, member activities, and opportunities to engage with the MVC community.

14 Oct 2026
Off
View Post
MVC 2026 Fall Collaborative-Wide Meeting Summary

MVC 2026 Fall Collaborative-Wide Meeting Summary

October 14, 2026 | Comments Closed | , , ,

The Michigan Value Collaborative (MVC) held its fall 2026 collaborative-wide meeting on Fri., Oct 9, in Livonia. A total of 87 attendees representing 55 hospitals, 5 physician organizations, and 13 healthcare systems from across the state of Michigan came together to share best practices for leveraging data to drive quality improvement.

MVC Director Mark Bradshaw, MSc, kicked off Friday’s meeting with updates on the MVC Coordinating Center [See slides]. Bradshaw’s presentation highlighted updates to the MVC registry, the recent distribution of refreshed cardiac rehab and common conditions hospital-level push reports, and P4P Program Year 2026 mid-year scorecards. Bradshaw reminded attendees that submissions for the one-time alternate health outcome variation (HOV) point opportunity for PY26 are due December 8.

Bradshaw then introduced planned changes for the Program Year (PY) 2028-2029 cycle of the MVC Component of the BCBSM P4P Program. This included changes to the episode spending menu via the addition of stroke (Figure 1) and the expansion of value metric definitions for cardiac rehab and preoperative testing (Figure 2).

Figure 1.

Presentation slide with a table outlining a P4P episode condition menu and rationale for adding stroke. Orange arrow highlights transition from current programs—CABG, CHF, COPD, PCI—to future programs that add stroke, supported by hospital volume, episode spending variation, MVC initiatives, and CQI overlap.

Figure 2.

Flowchart titled “MVC Value Metric Menu” presents PY 28/29 condition-expansion changes. Blue rounded boxes show cardiac rehabilitation after CABG or PCI and preoperative testing before low-risk surgery, with orange arrows leading to expanded conditions, including main-five rehabilitation and additional low-risk surgeries.

In addition to the new stroke option on the episode condition menu and the expansion of conditions for the cardiac rehab and preop testing value metrics, Bradshaw announced a change to the MVC scoring method for value metric achievement (Figure 3), which rather than using z-score thresholds will now be scored using prospective target rates.

Figure 3.

Infographic titled “Value Metric Achievement Scoring” presents prospective achievement thresholds for a QI program. Orange panel states prospective targets for process measures, while “HOW?” guidance outlines measure-specific thresholds, uniform application across hospitals, fixed thresholds throughout a two-year cycle, and separate pathways for achievement versus improvement points.

Bradshaw then walked attendees through the revised approach for the BCBSM P4P Readmissions Measure that will take effect in PY 2027. The measure will continue to focus on readmissions but instead of being all-cause will focus on select acute medical admissions and surgical procedures (Figure 4). It will also now be scored by MVC rather than BCBSM and will be based on all MVC’s payer data rather than only BCBSM Commercial patients.

Figure 4.

Blue-and-gray comparison table titled “New P4P Readmissions Measure” summarizes current approach versus planned changes. It shows 30-day readmissions, surgical-procedure criteria, broader payer coverage, prior-year scoring, MVC adjudication, and added CQI support from MVC, HMS, MSQC, BMC2, MEDIC, MUSC, and MSTCVS.

MVC Medical Director Hari Nathan, MD, PhD, delivered the MVC Data in Action presentation, highlighting unblinded data and practical data-to-action examples from two MVC members, MyMichigan Midland and McLaren Port Huron. During the presentation, attendees heard about lessons learned and next steps from representatives at each of the two hospitals.

Attendees then had the opportunity to network during the poster presentation session that followed Dr. Nathan's presentation. Posters from Bronson Methodist, Henry Ford Hospital, McLaren Greater Lansing, and Trinity Health Grand Haven featured projects that applied learnings from MVC's site coordinator education program to enhance QI action plans. Oaklawn Hospital shared their process improvement strategies to expand diabetes education in their community.

After the poster session, Kevin Bohnsack, MD, MPH, CPE, FAAFP, and Belinda Dokic, CPhT, BA, MBA, took the stage to deliver a presentation on Trinity Health's enterprise-wide strategies for reducing readmissions through data and analytics. Bohnsack and Dokic shared the Trinity Health 'playbook' for making data-driven decisions and optimizing performance related to all-cause readmissions within 30 days of discharge (Figure 5).

Figure 5.

Presentation slide titled “Leadership Commitment” outlines key messages for all ministry leaders and FY26 Trinity Health balanced scorecard measures. Purple header, color-coded commitment tiles, scorecard table with yellow FY26 measure highlight, and superhero illustration emphasize accountability, safety, quality, access, and performance tracking.

Bohnsack and Dokic's presentation was followed by lunch and breakout sessions in the afternoon:

Beyond the Hospital Walls: A Collaborative Approach to Transitional Heart Failure Care

Jorgeann Koenig, DPT Manager, Home Health and Post-Acute Care, and Jennifer DeBoer from Holland Hospital shared how Holland Hospital has demonstrated year-over-year improvements in heart failure episode spending and seven-day follow up through a collaborative partnership with Corewell Cardiology on the Lakeshore, the Transitional Heart Failure Program (THFP). THFP consists of Holland Hospital nursing staff who collaborate with Corewell Cardiology providers to facilitate improvements in these two MVC metrics, reduce re-hospitalizations, and improve outcomes.

Driven by Curiosity: Sharing Our Health Systemness Journey and Learning from Yours

Catherine Shuell, RN, BSN, Specialist, RN Clinical Data Lead CHE, and Stacey Karwoski, BS, Senior Business Systems Analyst, from Corewell Health System led an interactive breakout focused on Corewell Health's current approach to engaging with MVC, including its process for sharing MVC performance with leadership, staff structures supporting MVC engagement, and internal dashboard development.

From Data to Outcomes: MSQC-MVC Colorectal Cancer Quality Improvement Collaboration

Angela Medrano, RN, BSN, Clinical Improvement Specialist from DMC Huron Valley Sinai, demonstrated how the MSQC-MVC partnership on colorectal cancer surgical quality improvement and the statewide resection project is driving better short- and long-term outcomes for patients. The work has been supported by DMC's colorectal surgeon lead, multidisciplinary hospital teams, and MSQC to strengthen adherence to evidence-based quality measures in colorectal cancer surgery.

Strategies for MVC P4P Metric Selection

MVC Lead Data Analyst Julia Mantey, MPH, MUP, presented key principles and available resources that support strategic metric selection for the MVC Component of the BCBSM P4P Program. This session aimed to support members in identifying their greatest opportunities for improvement across MVC metrics.

The meeting closed with a reflection of the day spent together, reminders about upcoming events, and a look ahead at key dates in 2027 (Figure 6) [See slides].

Figure 6.

Informational slide titled “Planning for 2027: Save the Dates!” outlines MVC collaborative-wide meetings, presentation proposals, and site-visit requests. Key dates include May 6 in Gaylord and October 8 in Livonia, with virtual or in-person options and blue underlined links.

What are the attendees saying about the meeting?

“Really great presentations, speakers and breakout sessions.”

“The content was excellent and well timed. Sessions were of good length. Content specific to changes for ‘28/‘29 very impactful. The break outs truly helped my understanding and path forward.”

“I appreciated the extra information regarding P4P selection and the upcoming changes.”

“This was very informative and loved the breakout sessions.”

“I really enjoyed the readmissions discussion and willingness to share. It was also good networking and hearing what my hospital struggles with is also what others are struggling with.”

If you have questions about any of the topics discussed at MVC’s fall collaborative-wide meeting or are interested in more details, email the MVC Coordinating Center. MVC’s next collaborative-wide meeting will be in person on Thurs., May 6, 2027, in Gaylord.

23 Sep 2026
Off
View Post
Hospitals Receive PY 2026 Mid-Year Scorecards for MVC Component of BCBSM P4P Program

Hospitals Receive PY 2026 Mid-Year Scorecards for MVC Component of BCBSM P4P Program

September 23, 2026 | Comments Closed | , , , , , , , ,

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

Dot plot ranks MVC Hospitals participating in PY26–27 P4P Program by PY26 mid-year score, with scores ranging from roughly 0.5 to 10. Blue hospital markers rise steadily across rankings, while an orange horizontal line marks mean and median at 5.2.

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

Bar chart showing average points scored across hospitals by category, with y-axis ranging 0–10 points. Blue bars show Episode Spending 1.0/3, Value Metrics 2.2/4, Health Outcome Variation 0.6/1, Engagement 1.4/2, and Total Points 5.2/10.

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

Bar chart compares average points scored across episode spending conditions: CABG 1.3, CHF 1.3, COPD 1.0, and PCI 0.4. Blue patterned bars use a 0–3 vertical scale, with mean and median both marked as 1.0.

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

Bar chart compares average points scored across value metrics for preoperative testing and follow-up categories. Dark blue bars decline from 3.5 for preoperative testing to 1.1 for 14-day follow-up after COPD, with mean 2.2 and median 2.0 marked at upper right.

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.

16 Sep 2026
Off
View Post
Fall Collaborative-Wide Meeting Agenda, Speakers Announced

Fall Collaborative-Wide Meeting Agenda, Speakers Announced

September 16, 2026 | Comments Closed | , , , ,

The MVC Coordinating Center is excited to announce the agenda for its fall collaborative-wide meeting on Friday, October 9, 2026, from 10 a.m. – 3 p.m., at Vistatech in Livonia, MI. This meeting’s theme is “Unlocking Data for QI Impact: Translating Insights into Action” and will feature opportunities to learn about the various ways in which MVC's members are leveraging MVC data and resources to drive quality improvement locally and across Michigan. Those interested in attending MVC's fall 2026 collaborative-wide meeting must register here by Tuesday, September 22.

MVC Director Mark Bradshaw, MSc, will kick off the day with updates on MVC’s Component of the Blue Cross Blue Shield of Michigan (BCBSM) Pay-for-Performance (P4P) Program. This will be followed by a presentation by MVC Medical Director, Hari Nathan, MD, PhD, “From Performance to Action: Putting MVC Data to Work.” A poster session with presentations from McLaren Greater Lansing Hospital, Trinity Health Grand Haven Hospital, Bronson Methodist Hospital, Henry Ford Hospital, Oaklawn Hospital, and MVC will follow Dr. Nathan’s presentation.

After the poster session, Dr. Kevin Bohnsack and Belinda Dokic, CPhT, BA, MBA, from Trinity Health of Michigan will take the podium to present their work on “Reducing Readmissions Through Data and Analytics.” Attendees will then have time to network with peers over lunch before transitioning into two consecutive breakout sessions.

The four breakout topics will cover:

  • Holland Hospital’s Transitional Heart Failure Program (THFP). Holland Hospital credits THFP as a primary driver of their success on MVC’s congestive heart failure (CHF) episode spending and 7-day follow up measure.
  • Corewell Health System’s approach to engaging with MVC and leveraging MVC data as a unified system.
  • DMC Huron Valley Sinai's partnership with Michigan Surgical Quality Collaborative (MSQC) and MVC to strengthen adherence to evidence-based quality measures in colorectal cancer surgery and drive better short- and long-term outcomes for patients.
  • Key principles and available resources that support strategic metric selection for the MVC component of the BCBSM P4P Program to help MVC members identify their greatest opportunities for improvement across MVC metrics.

MVC Site Engagement Coordinator Rachel Folk, MHA, will close out the day and discuss next steps for MVC’s Component of the BCBSM P4P Program.

The last day to register for MVC’s fall 2026 collaborative-wide meeting is Tuesday, September 22. We look forward to seeing you there!

29 Jul 2026
Off
View Post
Building Confidence in Claims Data: MVC’s Site Coordinator Education Program Continues to Grow

Building Confidence in Claims Data: MVC’s Site Coordinator Education Program Continues to Grow

July 29, 2026 | Comments Closed | , , , , ,

Helping hospitals turn claims data into meaningful quality improvement (QI) action is central to Michigan Value Collaborative’s (MVC) mission. While MVC has long provided members with access to robust claims-based data and reporting resources, member feedback consistently identified a common challenge: many site coordinators and quality leaders wanted additional support in understanding how to interpret claims data and apply it to their organization’s improvement initiatives.

In response, the MVC Coordinating Center launched a series of site coordinator education modules. This structured learning experience was designed to strengthen claims data literacy while building participants’ confidence in using MVC resources to support local QI efforts. The program combines foundational education with practical application, peer collaboration, and individualized support to create a flexible learning experience that can be tailored to each participants’ needs.

After program registration began in January 2026, interest quickly exceeded expectations leading to the creation of three phased cohorts of quality leaders. To date, 40 site coordinators have enrolled in the program, representing 33 hospitals and 12 health systems, reflecting the growing demand for education focused on translating data into action.

A Four-Module Learning Experience

MVC’s site coordinator education program consists of four live, virtual modules that can be completed sequentially or independently depending on each participant’s experience and learning goals.

Module 1: Understanding MVC Fundamentals

The first module introduces participants to foundational knowledge about MVC including the collaborative’s mission, vision, data resources, P4P program, and engagement opportunities. Participants are additionally encouraged to develop a plan for how to meet yearly engagement goals based on preferred activities.

Module 2: Navigating MVC Data Resources

The second module reviews common claims data terminology and definitions, strengths and limitations of claims data, and explores how claims data can be used to supplement clinical data analyses to support QI efforts. Participants also learn to navigate the MVC registry, interpret push reports and identify meaningful performance measures.

Module 3: Applying MVC Resources to Quality Improvement

The third module examines opportunities to make connections between QI efforts and other aspects of MVC’s programming including fellow CQI collaborations and the MVC Component of the BCBSM P4P Program. This module aims to shift from understanding claims data to identifying applications of MVC resources to QI.

Module 4: Best Practice Sharing and Stakeholder Engagement

The fourth and final module focuses on translating the knowledge gained from the previous modules into the appropriate next steps for QI. Participants will have the opportunity to discuss best practices, challenges, and stakeholder communication strategies with fellow quality leaders engaged in similar areas of QI.

This curriculum is built around four complementary components that reinforce learning and encourage real-word application:

  • Foundational Learning: Live virtual sessions introduce key concepts, data resources, and other programmatic materials
  • Applied Case Studies: Independent exercises using hospital-specific reports help guide data interpretation and identify QI opportunities
  • Individual Coaching: One-on-one support from MVC Coordinating Center offers on-demand assistance with report interpretation and the development of customized reference tools
  • Peer Learning Forums: Integrated opportunities to connect with colleagues across Michigan to share experiences, discuss challenges, and exchange successful strategies

Together, these components create a learning environment that extends beyond traditional education by helping participants immediately apply knowledge to their own QI work.

As an example, following Module 2, participants are encouraged to complete a worksheet designed to apply concepts from the 1:1 session to their own organization’s data. Completed worksheets demonstrate strong engagement with the education framework, with participants identifying meaningful opportunities to improve quality of care in a variety of focus areas including readmissions, care transitions, cardiac rehabilitation utilization, and drivers of higher episode spending. Rather than jumping directly to solutions, participants thoughtfully used MVC claims data to generate hypotheses, identify additional clinical and operational information needed, and defined realistic next steps for QI.

A common theme across submissions is recognition that claims data can serve as a starting point for inquiry but must be combined with other data resources to drive QI strategies. Participants frequently identified the need to pair MVC data registry findings with health record data, chart reviews, frontline staff feedback, and internal quality dashboards to better understand underlying drivers. Participants also outlined practical next steps such as engaging multidisciplinary teams, validating findings locally, and integrating MVC data monitoring into existing QI initiatives. These outcomes demonstrate the program’s goal of helping site coordinators translate data insights into meaningful action.

Participant Feedback and Preliminary Outcomes

Evaluation is embedded throughout the education program to ensure the curriculum continues to meet participants’ needs. While the program is in its first year, initial feedback suggests it is already helping participants build confidence in using MVC resources. Following the completion of Module 1, site coordinators have reported an average confidence rating of 4.5 out of 5 in their ability to “describe MVC’s data resources and engagement opportunities.” These early results indicate that the program is successfully establishing a strong foundation for participants as they progress towards applying claims data to QI initiatives within their organizations.

Additionally, participants have highlighted the program’s impact on building both knowledge and confidence:

"Thank you so much for the time and education! I think this is exactly what I need as a new Quality Manager and Site Coordinator. Looking forward to the next module!"

"It was a great learning experience and I'm looking forward to learning more about how we can use this data for process improvement."

"This was a foundational review. I feel very confident with the foundational principles now. I look forward to becoming more comfortable with the claims data and using this data more confidently to improve our performance."

Looking Ahead

MVC’s education modules were designed to bridge the gap between data availability and practical application by combining several complimentary learning strategies. By equipping site coordinators with the knowledge and tools to not only interpret but also apply MVC data to QI efforts, the program aims to strengthen hospitals’ ability to identify improvement opportunities, support evidence-informed decision-making, and advance value-based care across Michigan.

As the program continues to expand, the MVC Coordinating Center is planning to scale up the program by training additional Coordinating Center team members to lead these sessions. Using participant feedback from post-module and post-program surveys, MVC will also continue to refine the curriculum to best meet the needs of site coordinators.

MVC looks forward to welcoming future cohorts of hospital quality leaders to the education program. If interested in joining the next cohort beginning in October 2026, please complete the registration form here.

22 Jul 2026
Off
View Post
MVC Finalizes Summary Evaluation of PY 24-25 P4P Cycle

MVC Finalizes Summary Evaluation of PY 24-25 P4P Cycle

July 22, 2026 | Comments Closed | , , ,

This year, the Michigan Value Collaborative (MVC) completed scoring and evaluation for Program Year (PY) 2025 of the MVC Component of the Blue Cross Blue Shield of Michigan (BCBSM) Pay-for-Performance (P4P) Program. This concluded a two-year program cycle encompassing the program methodologies and conditions utilized in PYs 2024 and 2025. MVC recently completed an evaluation of these two program years, which focused on hospital performance on average 30-day risk-adjusted, price-standardized total episode payments for the included conditions as well as utilization rates for the included value metrics across both program years.

The PY 2024-2025 program cycle utilized episode claims from 2021 through 2024. PY 2024 scoring compared performance year data from 2023 against baseline year data from 2021. PY 2025 scoring compared performance year data from 2024 against baseline year data from 2022.

Hospitals chose one episode spending condition from six available options for the PY 2024-2025 program cycle, including chronic obstructive pulmonary disease (COPD), colectomy (non-cancer), congestive heart failure (CHF), coronary artery bypass graft (CABG), joint replacement (hip and knee), and pneumonia. Among these six P4P conditions, joint replacement was the most selected condition (31), and pneumonia was the least frequently selected (6). Colectomy was not selected by any hospital.

Trends in average price-standardized episode payments showed a consistent decrease over the years for joint replacement. Both COPD and CABG showed relatively consistent trend in payments and had the highest payments in 2022 as seen in Figure 1. Both PYs saw an average decrease in payments in both CABG and joint replacement. Joint replacement was the largest contributor to the cost savings in this cycle with a decrease of $3 million dollars in PY 2024 and $1.9 million dollars in PY 2025.

Figure 1. Average Price-Standardized Episode Payment Trends for P4P Conditions (2020-2024)

Line chart showing 30-day total episode payments from 2020 to 2024 for five conditions: CABG, Pneumonia, CHF, COPD, and Joint. CABG payments remain highest around $50,000 with slight fluctuations, while other conditions show gradual increases between $14,000 and $18,000.

MVC further assessed the components contributing to total episode spending, and determined all conditions except COPD showed a decrease in spending in at least one episode component (i.e., index payment, professional services, post-discharge care, readmissions) across both PYs (Figures 2-3). Joint replacement showed decreased spending across all components in PY 2025 and across all components except readmissions in PY 2024. Similarly, all conditions demonstrated a reduction in spending for at least one post-discharge component in both PYs. Home health spending decreased across all conditions while inpatient rehabilitation spending increased for most conditions in both PYs. Emergency department spending also decreased for most conditions across both PYs.

Figure 2. Change in Average Price-Standardized Episode Components, PY 2024

Bar chart comparing 30-day episode component payments across five P4P conditions: CABG, CHF, COPD, Joint Replacement, and Pneumonia. Each condition's total payment is broken down into four color-coded components—Index (dark blue), Professional (orange), Post-Discharge (bright blue), and Readmissions (gray)—highlighting negative payment for CABG and Joint Replacement and positive payments for other conditions.

Figure 3. Change in Average Price-Standardized Episode Components, PY 2025

Bar chart comparing 30-day episode component payments across five P4P conditions: CABG, CHF, COPD, Joint Replacement, and Pneumonia. Payment components include Index (dark blue), Professional (orange), Post-Discharge (bright blue), and Readmissions (gray), showing negative total payments for CABG and Joint Replacement, and highest positive payment for Pneumonia.

In addition to selecting an episode spending condition, hospitals also selected one of seven available value metrics for the PY 2024-2025 program cycle. This included 7-day follow-up after CHF, 7-day follow-up after pneumonia, 14-day follow-up after COPD, 30-day inpatient readmissions after sepsis, 90-day cardiac rehab after CABG, 90-day cardiac rehab after PCI, and preoperative testing before low-risk surgeries (i.e., inguinal hernia repair, cholecystectomy, and lumpectomy). The 7-day follow-up after CHF metric (23) was the most frequently selected value metric followed by 90-day cardiac rehab after PCI (17). In contrast, 90-day cardiac rehab after CABG and 30-day inpatient readmissions after sepsis were the least frequently selected (5) value metrics.

Among the high-value metrics, hospitals that selected 14-day follow-up after COPD and 90-day cardiac rehab after PCI increased their utilization rate by 1.4% and 3.1%, respectively, from 2021 to 2023 (Table 1). In PY 2025, the utilization of 90-day cardiac rehab after CABG increased by 3.6% in 2024 compared to 2022 (Table 2). Among the low-value metrics, sepsis readmission rates decreased by 0.5% in PY 2024 and 7.0% in PY 2025. Preoperative testing rates decreased by 5% from 2022 to 2024 in PY 2025.

Table 1. Average Utilization Changes for P4P Value Metrics in PY 2024

Table displaying P4P value metrics with average utilization percentages for 2021 and 2023, alongside utilization change rates. Metrics include follow-up rates after CHF, pneumonia, COPD, cardiac rehab after CABG and PCI, inpatient readmissions after sepsis, and preoperative testing, with notable increases in 14-day COPD follow-up (1.4%) and 90-day cardiac rehab after PCI (3.1%).

Table 2. Average Utilization Changes for P4P Value Metrics in PY 2025

Table comparing average utilization rates for various healthcare metrics in 2022 and 2024, highlighting percentage changes. Metrics include follow-up periods after conditions like CHF, pneumonia, COPD, cardiac rehab after CABG and PCI, inpatient readmissions after sepsis, and preoperative testing, with notable increases in 90-day cardiac rehab after CABG and decreases in inpatient readmissions and preoperative testing.

Overall, the average total points earned remained relatively stable between PY 2024 (6.6) and PY 2025 (6.7), as shown in Figure 4. Average episode spending points decreased from 2.4 to 2.2, while average value metric points increased from 2.4 to 2.6, and average engagement points increased from 1.7 to 1.8 from PY 24 to PY 25.

Figure 4. Average Points Earned by Scoring Components in PYs 2024-2025

Bar chart comparing scores for PY 24 and PY 25 across four categories: Episode Spending Points, Value Metrics, Engagement Points, and Final Score. PY 25 slightly outperforms PY 24 in Value Metrics, Engagement Points, and Final Score, with both years scoring similarly in Episode Spending Points.

The distribution of total points earned by participating hospitals in PY 2024 and PY 2025 are shown in Figures 5 and 6, respectively. Approximately 15% of hospitals scored the maximum score of 10 points in PY 2024 and this proportion decreased to 10% in PY 2025.

Figure 5. Distribution of Hospital Total Points Scored for PY 2024

Scatter plot showing PY24 final scores of MVC hospitals participating in PY24-25 program, with scores ranging from 0 to 10. Data points are marked in blue, with mean score 6.6 in orange and median score 6.1 in gray, highlighting most hospitals scoring at or above median and mean.

Figure 6. Distribution of Hospital Total Points Scored for PY 2025

Scatter plot showing final PY 25 scores for MVC hospitals participating in PY 24-25 program, with scores ranging from 2 to 10. Plot includes orange line for mean score (6.7), gray line for median score (6.0), and dark blue dots representing individual hospital scores, highlighting most hospitals scoring at or above median.

Additional details are contained in the full report. Please contact the Coordinating Center for more details on the report or for any questions regarding the PY 2024-2025 cycle.

15 Jul 2026
Off
View Post
Share Your Success Story at MVC’s Fall 2026 Collaborative-Wide Meeting

Share Your Success Story at MVC’s Fall 2026 Collaborative-Wide Meeting

July 15, 2026 | Comments Closed | , , , ,

The Michigan Value Collaborative (MVC) is now accepting presentation proposals for its fall 2026 collaborative-wide meeting, taking place Fri., Oct. 9, at the VistaTech Center in Livonia, Michigan.

Each collaborative-wide meeting provides an opportunity for members to learn directly from one another by sharing innovative approaches, practical lessons learned, and successful quality improvement strategies. MVC is seeking presentations that highlight quality improvement initiatives informed by MVC offerings, such as push reports, custom reports, registry data, or insights gained through participation in MVC events and peer learning opportunities.

Potential presentation topics include how your organization used MVC offerings to:

  • Benchmark performance against peer hospitals
  • Establish quality improvement goals and target metrics
  • Build leadership support for improvement initiatives
  • Identify variation in care across hospitals or communities
  • Measure the progress or impact of interventions
  • Inform the development of new workflows, programs, or best practices

We also welcome proposals showcasing other ways your organization has leveraged data to support quality improvement planning, implementation, or evaluation.

Partners may submit MVC's online presentation proposal form by Tues., July 28, to share their proposed topic. After proposals are reviewed, the MVC Coordinating Center will contact selected presenters to discuss their topic and provide guidance throughout the presentation development process.

As an added benefit, hospitals participating in the MVC Component of the BCBSM Pay-for-Performance (P4P) Program may earn 0.5 engagement points toward Program Year 2026 for presenting at an MVC event.

We hope you'll consider sharing your team's work and helping inspire improvement efforts across the MVC collaborative.

Presentation proposal deadline: Tues., July 28

Please reach out to the MVC Coordinating Center with any questions.

13 May 2026
Off
View Post
MVC 2026 Spring Collaborative-Wide Meeting Summary – From Innovation to Impact: Advancing Care Across Health Networks

MVC 2026 Spring Collaborative-Wide Meeting Summary – From Innovation to Impact: Advancing Care Across Health Networks

May 13, 2026 | Comments Closed | , , ,

The Michigan Value Collaborative (MVC) held its spring 2026 collaborative-wide meeting on Fri., May 8, in Traverse City, Michigan. A total of 84 attendees representing 48 hospitals, 16 multi-hospital systems, and seven physician organizations from throughout the state of Michigan explored strategies for elevating quality across integrated health networks through the lens of system-wide alignment and data-driven improvement.

MVC Director Mark Bradshaw, MSc, began Friday’s meeting with updates on the MVC Coordinating Center and the MVC Component of the BCBSM P4P Program [see slides]. He first introduced attendees to MVC’s newest team members, Senior Faculty Advisor Ryan Howard, MD, MS, and Lead Analyst Megan Heath, PhD. Bradshaw then provided an update on recent MVC reporting since the fall collaborative-wide meeting, including 12 hospital-level custom reports, a push report focused on follow-up utilization, and the P4P Program Year (PY) 2025 final scorecards. It was further announced that MVC’s registry was recently updated with new payer data, including three new months of BCBSM/BCN claims and three new quarters of Medicare FFS claims.

He also provided an update on MVC’s new site coordinator education program. With a total of 31 site coordinators enrolled thus far in 2026, he encouraged those interested in starting in Q4 of 2026 or Q1 of 2027 to join the waitlist for this individualized educational offering [registration link].

Bradshaw next summarized updates on the Michigan Cardiac Rehab network’s (MiCR) efforts to improve cardiac rehabilitation utilization. These include an upcoming MiCR virtual forum featuring a group cardiac rehab demo [registration link], a third round of NewBeat material orders, and Heart-to-Heart patient stories. Additionally, he summarized the status of MiCR’s medication management initiative. If interested in participating in an interview on this topic, please contact MVC via email [email link].

After providing MVC Coordinating Center updates, Bradshaw moved on to provide insights into final scoring of P4P PY 2025 (see Figures 1-3), which included slight increases in average total points scored from PY 2024, some improvements in engagement point scoring, and continued scoring success for value metrics tied to MVC’s value-based initiatives (e.g., cardiac rehab and preoperative testing metrics).

Figure 1. Distribution of MVC’s P4P PY 2025 Total Points

Line chart displays final scores of MVC hospitals participating in PY 24-25 program, with scores plotted as blue dots ranging from 2 to 10. Horizontal lines indicate mean score of 6.7 in orange and median score of 6.0 in gray, highlighting most hospitals scoring above median with several reaching 10 out of 10.

Figure 2. MVC’s P4P PY 2025 Scoring Breakdown by Episode Spending and Value Metric Selections

Horizontal bar chart comparing PY 25 episode spending scores and value metric scores across medical conditions and procedures. Spending scores range from 1.5 for Pneumonia to 2.9 for CABG, while value metric scores range from 2.0 for 7-day follow-up after Pneumonia to 3.7 for Preoperative Testing, with mean and median values indicated for each group.

Figure 3. MVC’s P4P PY 2025 Engagement Point Distribution

Scatter plot showing engagement scores of MVC hospitals participating in PY 24-25 program, with individual hospital scores represented by blue dots and a mean score of 1.8 marked by an orange horizontal line. Most hospitals achieve or exceed the mean score, with several reaching the maximum score of 2.0, indicating high engagement levels across participants.

After reviewing hospital performance in 2025, Bradshaw looked to the PY 2026-2027 cycle, announcing a one-time alternative point opportunity for PY 2026 to earn credit for MVC’s new health outcome variation (HOV) metric. Additional details on submission requirements and timelines will be announced to site coordinators in the coming weeks. Following this, he noted the many opportunities to earn engagement points remaining in calendar year 2026 including virtual workgroups, networking dinners, and MVC’s fall collaborative-wide meeting in Livonia. For a complete schedule of events and registration, please visit MVC’s events webpage. Bradshaw reminded members that PY 2026 mid-year scorecards are expected in Q3 2026, and hospitals will be asked to make metric selections for PYs 2028-2029 in Q4 2026.

The meeting then featured an MVC data presentation by MVC Medical Director Hari Nathan, MD, PhD, and MVC Analyst Janet Zhang, MPH, on reporting and benchmarking outcomes across Michigan health systems. Dr. Nathan began with a discussion on the gradual, structural shift over the last two decades from independent ownership towards health system affiliation, noting that Michigan has outpaced national averages for system affiliation. He then reviewed the current state of MVC’s system-level reporting and outlined other measures of system variation from the literature not currently utilized in MVC reporting (Figure 4), emphasizing the need for MVC and its membership to co-design a path for measuring system-level quality in the future.

Zhang supplemented the presentation by sharing unblinded data on variation in hospital-level risk-adjusted 30-day readmission rates within hospital systems. She outlined traditional methods of showcasing variation using caterpillar plots and demonstrated how MVC might leverage hospital-level data to calculate a single index value for systems to support tracking variation over time. Zhang and Dr. Nathan both emphasized the importance of considering quality in outcomes and variation in outcomes as they evaluate their system-level performance.

Figure 4. Sample Approaches to Measuring System Variation

Table presenting system characteristics, relevant metrics, and rationales for surgical care quality assessment. It includes metrics like Herfindahl–Hirschman Index for centralization, case volume percentages for surgery avoidance and selective referral, and ambulatory surgery distribution, highlighting standards, care optimization, and resource allocation.

Building on the data presentation, a panel discussion led by Dr. Nathan further explored what “systemness” and system quality of care mean in practice and how stronger integration can improve quality, outcomes, and access across health systems and networks. Panelists included Alex Callaway, MBA, CPHQ, CPPS, Regional Quality Director of Munson Health System; Emily Nerreter, MBA, CPC, CRC, Pay for Performance & Registries Manager of Henry Ford Health System; and Stephanie Pins-Schallip, MSA, CPHQ, Director of Value Analysis & Enhancement of MyMichigan Health. Each panelist brought unique perspectives and experience to the discussion, presenting compelling evidence to support the optimization of system-level resources, data, and cooperation.

Attendees then spent the remainder of the morning in breakout sessions [see breakout session slides] learning from peers, sharing intervention success stories, and brainstorming approaches to measuring quality in both small, stand-alone hospitals and large multi-hospital systems:

  • Catalyst Community for Improvement: Transforming Performance Together (Corewell)
  • Roadmap to Building Strong Post-Acute Care Network (Trinity Health Alliance)
  • Developing a Heart Failure Care Management Program (Trinity Health IHA)
  • Rural & Critical Access Hospital Claims Data Reporting Strategies (MVC)
  • Advancing System-Level Quality Improvement: Exploring Concepts for New MVC Metrics (MVC)

Following a networking lunch and a second session of breakouts, attendees came back together for the presentation of MVC awards by Engagement Manager Jessica Souva, MSN, RN, C-ONQS. The 2025 Engagement Award recipients included:

  • Henry Ford Health – 2025 Most Engaged System
  • Primary Care Partners, Inc. - 2025 Most Engaged Physician Organization
  • Scheurer Health – 2025 Most Engaged Critical Access Hospital
  • University of Michigan Health-West – 2025 Most Engaged General Acute Care Hospital

Souva also announced the winner of the poster contest, which was identified through member voting during the afternoon poster session. University of Michigan Health – Sparrow Carson won “best poster” for their “Rural Sepsis Initiative: Timely Care, Better Outcomes” poster submission. The poster was presented by Sara Hagerman, BSN.

The meeting closed with a reflection of the day’s themes and sessions, and reminders about upcoming meetings and events.

What are attendees saying about the meeting?

“The interactive sessions were great, and so was the location.”

“Today was a really great day, filled with a lot of discussion, networking and interactive activities.”

“This was my first meeting. I appreciate the information shared and opportunity.”

“I liked the panel discussion today. In the past, I also like the different tables of presenters to allow for smaller group discussion. Overall, lots of good discussion on how to work in a system.”

“Always love coming to MVC collaborative wide meetings as they’re so informative and a great way to network with others who have the same or very similar goals and outcomes!”

“The information presented was highly applicable across systems and independents.”

If you have questions about any of the topics discussed at MVC’s spring collaborative-wide meeting or are interested in following up for more details, please email the MVC Coordinating Center. MVC’s next collaborative-wide meeting will be held in person on Fri., Oct. 9, 2026, in Livonia, Michigan.

15 Apr 2026
Off
View Post
Spring Collaborative-Wide Meeting Agenda, Speakers Announced

Spring Collaborative-Wide Meeting Agenda, Speakers Announced

April 15, 2026 | Comments Closed | , ,

The MVC Coordinating Center is excited to announce the agenda for its spring collaborative-wide meeting on Friday, May 8, 2026, from 10 a.m. – 3 p.m., at the Grand Traverse Resort & Spa in Acme, MI. This meeting’s theme is “From Innovation to Impact: Advancing Care Across Health Networks” and will highlight the various ways in which MVC's members collaborate across health systems and networks to advance the quality of healthcare across Michigan. Those interested in attending MVC's spring 2026 collaborative-wide meeting must register here by Tues., April 21.

MVC Director Mark Bradshaw, MSc, will kick off the day with updates on MVC’s Component of the Blue Cross Blue Shield of Michigan (BCBSM) Pay-for-Performance (P4P) Program. This will be followed by an MVC Data in Action presentation by MVC Medical Director, Hari Nathan, MD, PhD, and MVC Data Analyst, Janet Zhang, MPH.

Dr. Nathan will then invite system representatives from Munson Health System, Henry Ford Health System, and MyMichigan Health System to join him on stage for a panel discussion titled “Elevating Quality Across an Integrated Health Network”.  Nathan will lead the panelists and attendees through a discussion on addressing barriers to health care improvements and measuring success across health systems and networks.

Attendees will then transition to their first breakout session before lunch and networking. The second breakout session will occur following lunch and networking. The five breakout topics will cover:

  • Corewell Health’s system-level approach to performance improvement
  • The development of Trinity Health IHA Medical Group’s Heart Failure Care Management Program
  • Trinity Health Alliance of Michigan’s Post-Acute Care Network
  • An exploration of new concepts for MVC metrics to support Advancing System-Level Quality Improvement
  • Rural and Critical Access Hospital Claims Data Reporting Strategies

View a summary of the breakout presentations using this LINK.

MVC’s Engagement Manager, Jessica Souva, MSN, RN, C-ONQS, will close out the day presenting MVC members with MVC’s second annual engagement awards and next steps for MVC’s Component of the BCBSM P4P Program.

The deadline to register for MVC’s spring 2026 collaborative-wide meeting is Tues., April 21. We look forward to seeing you there!

12 Nov 2025
Off
View Post
MVC Announces Meeting Dates, Workgroups, and Trainings Available in 2026

MVC Announces Meeting Dates, Workgroups, and Trainings Available in 2026

November 12, 2025 | Comments Closed | , , , ,

As we head into the holiday season and final months of calendar year 2025, the MVC Coordinating Center has been planning for its 2026 engagement activities. At MVC's most recent fall collaborative-wide meeting in October, MVC first announced several key dates and updates related to next year’s engagement offerings. 

MVC’s 2026 event calendar is available now [PDF]. Of note, MVC site coordinators can see the dates for 2026 collaborative-wide meetings (Figure 1) and workgroups, as well as the months in which MVC will offer in-person or virtual networking events. MVC will head to Traverse City for its spring collaborative-wide meeting on May 8, 2026. MVC will return to Vistatech in Livonia for its fall collaborative-wide meeting on Oct. 9, 2026. 

Figure 1.

MVC 2026 collaborative-wide meeting dates & locations: May 8, Traverse City, Oct 9, Livonia

Also available is MVC’s Program Year (PY) 2026 P4P Engagement Point Menu [PDF]. Engagement activities offered in 2025 will largely continue along with some minor changes and new additions.

Earning P4P Engagement Points in 2026

In PY 2026 of the MVC Component of the BCBSM P4P Program, members can continue to earn up to two engagement points by completing eligible MVC activities. Many of the engagement point activities from PY 2025 remain available, such as attending or presenting at eligible MVC events, participating in site visits, utilizing MVC custom analytics, and survey submissions (Figure 2). Some of these offerings will have minor adjustments to their allotted point values. For example, attending a collaborative-wide meeting will now be worth 0.4 points compared to 0.25 points in 2025, and worth 1 point in 2026 for attending both meetings versus 0.75 in 2025.

Figure 2.

2026 engagement points menu options

Another minor change is the number of virtual workgroups offered. MVC will offer 18 virtual workgroups in 2026; these workgroups will continue to focus on similar topics and themes, including cardiac rehabilitation, preoperative testing, post-discharge follow-up, rural health, health in action, and sepsis.

New Engagement Offering

MVC is excited to introduce one new offering in 2026: site coordinator education modules. These modules will support site coordinators via one-on-one tailored training that covers a variety of topics (Figure 3). Site coordinators can receive 0.2 engagement points per module and may participate in as few as one module or all four within the performance year. Each quarter of 2026, MVC will offer limited registration to participate in a module. Registration to begin participating in 2026 Q1 will start in December 2025. Training topics provide a review of:

  1. Overview of MVC’s mission, history, P4P program, and site coordinator role
  2. Training on MVC claims data, metrics, and reports
  3. Introduction to MVC’s value-based initiatives and the CQI model
  4. Meeting with other site coordinators to collaborate and discuss practices

Figure 3.

Site coordinator education modules

As part of the online training, site coordinators will complete a structured education plan with individualized guidance to deepen understanding of how to get the most value out of MVC’s offerings.

Earn Engagement Points by Being a Presenter

For those sites participating in the MVC Component of the BCBSM P4P Program, being a presenter at an MVC event is an opportunity to earn 0.5 points toward your hospital’s PY26 engagement points. By sharing successes, lessons learned, and helpful tools with members from across the state, presenters play an important role in improving outcomes for all Michigan patients. MVC’s Engagement team is here to support you every step of the way, making the experience of presenting as easy and comfortable as possible. Presentation proposals are accepted on a rolling basis through MVC's online form.

MVC offers a variety of opportunities to engage with the Coordinating Centers and other members of the collaborative to support peer learning, best practice sharing, and networking. These activities and events foster a collaborative learning environment that enables providers to learn from one another in a cooperative, non-competitive space, and is therefore core to MVC’s efforts to support sustainable, high-value healthcare delivery across the state. We look forward to engaging with you and your teams next year. Please contact the Coordinating Center with any questions [EMAIL].