27 May 2026
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PY 2025 Final Scorecards Shared for MVC Component of the BCBSM P4P Program

PY 2025 Final Scorecards Shared for MVC Component of the BCBSM P4P Program

May 27, 2026 | Comments Closed |

Last month, the Michigan Value Collaborative (MVC) distributed final scorecards for Program Year (PY) 2025 of the MVC Component of the Blue Cross Blue Shield of Michigan (BCBSM) Pay-for-Performance (P4P) Program. This report provided hospitals with their final scores for PY 2025 as well as detailed breakdowns by scoring components. It also included a preview of measure scoring for the new health outcome variation measure that will be worth one point in PYs 2026-2027.

Each hospital received a final score out of a total of 10 points, including 0 to 4 points for their selected total episode payment metric, 0 to 4 points for their selected value metric, and 0 to 2 points for completed eligible engagement activities. PY 2025 scored each participating hospital’s achievement and improvement for selected episode spending conditions and value metrics using index admissions from 2024 performance year data against 2022 baseline year data. Hospitals were awarded the higher of their achievement or improvement point scores.

Figure 1 illustrates the distribution of total points out of 10 across the collaborative. The average points scored across the final scorecards was 6.7 out of 10. This average is 0.1 higher than the average points scored at the conclusion of PY 2024.

Figure 1. Distribution of Hospital Total Point Scores for PY 2025

Line chart showing final scores of MVC hospitals participating in PY 24-25 program, with scores ranging from 2 to 10 out of 10. Chart includes orange line for mean score (6.7) and gray line for median score (6.0), highlighting most hospitals scored above median and mean.

Figure 2 illustrates the breakdown of scoring on average by each program component (i.e., episode spending metric, value metric, engagement points). Hospitals could earn up to four points for their episode spending and value metric selections, and up to two points for engagement activities completed in 2025. Across the collaborative, hospitals scored an average of 2.2 points for episode spending, 2.6 points for value metrics, and 1.8 points for engagement activities.

Figure 2. Average Points Earned in PY 2025 by Scoring Component

Bar chart comparing average scores across hospitals in four categories: Episode Spending Points, Value Metrics, Engagement Points, and Final Score. Bars are color-coded gray, blue, orange, and dark blue respectively, with Final Score notably highest at 6.7 out of 10.

Figure 3 illustrates the breakdown of the average points by episode spending conditions. The highest scoring episode spending condition was coronary artery bypass grafting (CABG) with an average of 2.9 points, and this was followed by joint replacement with 2.5 points. Conditions that hospitals scored less than 2 points on episode spending on average were congestive heart failure and pneumonia with 1.7 and 1.5 points respectively.

Figure 3. Average Points Earned Out of Four in PY 2025 by Episode Spending Condition

Bar chart comparing PY 25 episode spending scores across five medical conditions, with CABG showing the highest score of 2.9 and Pneumonia the lowest at 1.5. Chart includes mean spending score of 2.2 and median of 3.0, with dark blue bars labeled by condition on the x-axis and spending scores on the y-axis.

Figure 4 illustrates the breakdown of average points by value metrics. Consistent with PY 2024, the highest scoring value metric was preoperative testing with 3.7 points. This was followed by 90-day cardiac rehab after PCI and 7-day follow up after CHF, both with an average score of 2.7 points. The lowest scoring value metric was 7-day follow up after pneumonia and follows the same trend as that of PY 2024 with 2 points.

Figure 4. Average Points Earned Out of Four in PY 2025 by Value Metric

Bar chart displaying PV 25 value metric scores across various medical follow-up and testing categories, with scores ranging from 2.0 to 3.7. Categories include preoperative testing, cardiac rehab, and inpatient readmissions, with mean score 2.7 and median 3.0 indicated on chart.

Figure 5 shows the distribution of engagement points earned out of a maximum of 2 across the collaborative. Notably, about 70% of the participating hospitals earned both engagement points in PY 2025.

Figure 5. Distribution of Engagement Points Earned by Hospitals in PY 2025

Scatter plot showing engagement scores of MVC hospitals participating in PY 24-25 program, with individual hospital scores represented by blue dots. An orange horizontal line marks the mean score of 1.8, highlighting that most hospitals meet or exceed this engagement threshold.

This is the second year of a two-year (PY 24-25) P4P cycle. The full methodology for this program cycle can be found in the PY2024-2025 technical document [PDF].

In addition to the PY 2025 final scorecard summary, this report also included a preview of the new health outcome variation measure scoring, which will be worth one point in PY 2026-2027 (Figure 6). The table presents the hospital’s payer-specific risk-adjusted readmission rates in the performance year, the baseline and performance indexes for the hospital, and the target indexes required to score a point via improvement or achievement. This table’s scoring is based on PY 2025 data (i.e., 2024 performance year data and 2022 baseline data). When used in conjunction with other previously shared reports (e.g., the health outcome variation measure push report), hospitals can view performance trends over time on this measure. MVC has also recently prepared custom report requests for members on their HOV performance.

Please note that this table was included to help orient members with the scoring methodology for this new measure and did not impact PY 2025 scores. For detailed information about this measure, hospitals can watch an MVC introductory video to the HOV measure and refer to the PY 2026-2027 P4P technical document.

Figure 6. Sample Scoring of New Health Outcome Variation Measure

Table displaying Health Outcome Variation Measure for hospital readmission rates in 2024 across different insurance types, including BCBSM/BCN Commercial, BCBSM/BCN MA, Medicaid, Medicare, and Dual-Eligible. Key data includes baseline index (1.29), performance overall (3.03), target index for improvement (1.25), target index for achievement (1.24), and a scoring column with points scored (1).

If you have any questions regarding PY 2025 of the MVC Component of the BCBSM P4P Program, please refer to the MVC P4P PY 2024-2025 Technical Document.  You can also contact the MVC Coordinating Center for a walkthrough of your hospital’s PY 2025 final scorecard or P4P registry reports. MVC will evaluate and release mid-year scorecards for PY 2026 in Q3 of 2026.

13 May 2026
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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
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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!

18 Mar 2026
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Reducing Unnecessary Preoperative Testing: Progress on RITE-Size Partnership

Reducing Unnecessary Preoperative Testing: Progress on RITE-Size Partnership

March 18, 2026 | Comments Closed | , ,

For many patients preparing for surgery, the process begins long before they enter the operating room. Blood tests, lab visits, and diagnostic screenings often become routine steps in preoperative care—even for patients undergoing low-risk procedures. In many cases, these tests add extra appointments and costs without changing how care is delivered.

Research suggests that as many as one in three patients evaluated for low-risk surgery receive tests that are not clinically necessary, and those results rarely influence clinical decisions. Improving the appropriateness of testing is therefore an important opportunity to improve the patient experience while reducing inefficiencies in surgical care.

For the last few years, the Michigan Value Collaborative has engaged its suite of offerings – from dedicated registry pages and push reports to workgroups and performance-based incentives – to support hospitals across the state in aligning their preoperative protocols with evidence-based guidelines.

Progress on the RITE-Size Trial

Another key component in the success of improved preoperative testing appropriateness in Michigan is the Right-Sizing Testing Before Elective Surgery (RITE-Size) trial, supported by the Michigan Program on Value Enhancement (MPrOVE), the Michigan Surgical Quality Collaborative (MSQC), the Anesthesiology Performance Improvement and Reporting Exchange (ASPIRE), and MVC.

RITE-Size is an Agency for Healthcare Research and Quality (AHRQ)-funded, multi-institutional quality improvement trial. RITE-Size launched a pilot in March 2024 at three hospitals in Michigan. The study aimed to meet criteria in several areas such as feasibility (implementation in the appropriate amount of time), testing rates (reduction), and acceptability and appropriateness (results from interviews). By August 2024, the desired milestones had been achieved, showing a 68% average reduction in unnecessary testing by the three participating sites (Figure 1). All three sites saw significant decreases in their testing rates following implementation of the multi-component intervention.

Figure 1. MVC RITE-Size Pilot Program Testing Rates Over Time Across All Three Sites from March-April 2024 to July-August 2024

line graph depicting reduction in unnecessary preoperative testing at three pilot sites

This was followed by a larger trial in 2025 with six new hospitals. Each site participated in a site visit, personalized coaching, and evaluation of their data in consultation with the RITE-Size team to guide on-site efforts to improve the appropriateness of their preoperative testing. In 2026, the RITE-Size partners are looking to enroll 12-15 hospitals and ambulatory surgery centers (ASCs) across Michigan.

Along the way, some of the successes, tools, and challenges from sites participating in the trial have been featured in MVC’s preoperative testing workgroups, where clinical and quality leaders have come together to learn from one another and share best practices. In one of those recent workgroups, for example, Lake Huron Medical Center shared insights into their experience in the trial and its impact on their preoperative protocols. A collated list of MVC’s preoperative testing workgroups can be found on MVC’s YouTube channel.

The work is also contributing to the broader evidence base on reducing low-value care. Nicole Mott, MD, MSCR, a National Clinician Scholar at the University of Michigan supported by the Veterans Administration and a general surgery resident at the University of Colorado, was the lead author on a recently published paper in JAMA Network Open that described the components and impact of the trial.

Leveraging Partner Operations for Recruitment

Over the past year, the RITE-Size partnership has worked to strengthen alignment between the trial’s activities with those operational activities of the partner organizations.

For instance, participation in the RITE-Size initiative is now tied to MSQC’s BCBSM P4P scorecard for preoperative testing, allowing hospitals to receive credit toward their scorecard by engaging in the initiative. MVC is also leveraging its new ambulatory surgery center (ASC) dataset to identify additional sites beyond the hospital setting that may benefit from participating in the initiative, with recruitment efforts under way with six eligible ASCs. Three new hospitals joined the trial at the start of 2026, and additional sites are engaged in conversations and related information sessions as they consider participating.

Supporting Hospitals in Practice Change

Participating hospitals are approaching preoperative testing improvement from a variety of starting points. For some, the initiative has helped validate practices that were already evolving. For others, it has created an opportunity to revisit long-standing protocols and bring them in line with current evidence.

At Lake Huron Medical Center, participation in the RITE-Size initiative helped uncover an important opportunity for improvement. While staff had already begun reducing unnecessary preoperative testing in practice, the hospital discovered that its formal documentation had not kept pace with these changes. The pre-anesthesia testing protocol used by staff still included outdated materials and handwritten updates accumulated over time.

Through the collaborative work of the RITE-Size initiative, the hospital was able to review and modernize its protocol, ensuring that documentation reflects current practice and provides clear guidance for clinical teams. This type of operational refinement—aligning written protocols, data reporting, and frontline practice—is a common step for organizations working to improve the appropriateness of preoperative testing.

Kelly Lewton, RN, BSN quote

The collaborative structure of the initiative has also proven valuable. Participating hospitals are able to share implementation strategies, learn from peers facing similar challenges, and access guidance from project partners as they refine their approaches.

Looking Ahead

As this work continues, MVC is also using its claims-based data to examine the broader impact of reducing unnecessary testing. The MVC Coordinating Center is currently partnering with MSQC to explore the impact and value of MSQC’s preoperative testing metric since its inclusion in their scorecard. The aims of this analysis are to better understand the statewide improvement in the measure as well as the potential financial and operational benefits associated with improvements.

Insights from this analysis will help the RITE-Size partners better understand the impact of an incentive-based measure on testing outcomes as well as related cost savings that may accompany on-the-ground improvements.

As the RITE-Size trial continues into its next phase, the trial partners remain committed to supporting hospitals through shared data, collaborative learning, and practical implementation resources. Together, these efforts aim to ensure that preoperative testing is used when it adds clinical value.

Hospitals interested in learning more about their preoperative testing rates and opportunities can contact the MVC team.

10 Dec 2025
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Celebrating 2025 Successes and Setting the Stage for 2026

Celebrating 2025 Successes and Setting the Stage for 2026

December 10, 2025 | 0 Comments | , , , , , ,

On behalf of the MVC Coordinating Center, let me first start this end-of-year blog by thanking you all for your partnership and continued support throughout 2025. In case you blinked and its now December – don’t worry, you’re not alone! The last year has flown by with plenty of twists and turns along the way. Before we get caught up in the holidays and planning for 2026, we wanted to step back and celebrate the successes we achieved together over the last 12 months.

In writing my reflection piece last year, I highlighted that both our engagement participation and analytics utilization were far above previous years. While this gave us a hard act to follow, we are delighted to share that this trend continued upwards in 2025. Over the last year, we welcomed two new hospital members to the collaborative, delivered 23 virtual workgroups with an average attendance of 41, facilitated 24 different member presentations, completed 9 site visits, delivered 14 custom analytic requests, and supported 106 new users in gaining access to our online registry. On top of all of this, we held two collaborative wide meetings in Midland and Livonia, with 197 member representatives joining us to share stories, spotlight successes, and support one another in navigating all of the challenges which 2025 decided to bring.

These flagship numbers only tell one part of the story; the true value of each of the activities detailed above comes from the relationships and partnerships developed as a result of the time spent together. We hope you all have taken as much benefit from these collaborations as our group has during this time. Which brings me to another highlight…the MVC Coordinating Center. Let’s take a moment to celebrate the people who not only help make all of the above possible but that make this such a great place to work. Thank you to the entire MVC team for your hard work and commitment to supporting our members throughout 2025. I’m excited for what the next year will hold. Speaking of which, here’s a sneak peek of a few things that will be taking place in 2026.

Collaborative Wide Meetings, Networking Events, and Virtual Workgroups

MVC’s 2026 engagement events calendar is now live. Our spring collaborative wide meeting will take place on Friday, May 8 in Traverse City and we will be returning to Livonia for our fall meeting on Friday, October 9. These forums continue to be supported by virtual and in-person networking activities and dinners throughout the year, and dates for our regular suite of virtual workgroups can also be found on the 2026 calendar. Save the dates - we look forward to seeing you at each of these events!

MVC Site Visits

We visited a number of you in 2025, providing the opportunity to strengthen our understanding of member activities, priorities, and system-level practices. This effort will continue next year, and members can participate in these site visits in either a virtual or in-person capacity, with P4P engagement points on offer for taking part. If you are interested in getting on the calendar for 2026, please don’t hesitate to reach out.

MVC Site Engagement Coordinator Education Program

In response to member feedback, MVC will be launching a new Site Coordinator Education Program in 2026, designed to offer a flexible, individualized, rolling training curriculum to provide members with a stronger understanding of MVC data, share tools to help evaluate metric progress, and facilitate peer collaborations. This program is in high demand with capacity already met for the first round of registration. Additional opportunities to participate in this new education program will open throughout the calendar year – more communications to follow!

New MVC Component of the BCBSM P4P Program PY26/27 Registry Pages & Webinars

As with previous cycles, new P4P pages will be launched at the turn of the year to correspond with the changes implemented for PY26/27. These pages will look and feel similar to those currently available with a few important updates to reflect changes to our episode spending and value metric menu options and the introduction of MVC’s new Health Outcome Variation Measure. The latter reflects a new metric to the MVC Component, and to support members in navigating and utilizing these new registry pages, dedicated explainer webinars will be held in January.

MVC Push Reports and Custom Analytics

As highlighted above, MVC’s push reports and offer of custom analytics were well utilized by members in 2025, and to reflect member feedback, efforts will be spent strengthening this offering for member benefit in 2026. Remember, if you are interested in working with the Coordinating Center on a custom build, reach out to us by email. [LINK]

Thank you again for your continued partnership throughout the last year and we look forward to more successes in 2026. Have a great holiday and a happy new year when it rolls around.

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

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

November 12, 2025 | 0 Comments | , , , ,

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].

22 Oct 2025
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Hospitals Receive PY25 Mid-Year Scorecards for MVC Component of BCBSM P4P Program

Hospitals Receive PY25 Mid-Year Scorecards for MVC Component of BCBSM P4P Program

October 22, 2025 | 0 Comments | , , , , ,

Last month the Michigan Value Collaborative (MVC) distributed mid-year scorecards for Program Year (PY) 2025 of the MVC Component of the Blue Cross Blue Shield of Michigan (BCBSM) Pay-for-Performance (P4P) Program. This report provided hospitals with their current standing for PY 2025. It also included a preview of measure scoring for the new health outcome variation measure that will be worth one point in PYs 2026-2027.

Each hospital received a mid-year score out of a total of 10 points, including 0 to 4 points for their selected total episode payment metric, 0 to 4 points for their selected value metric, and 0 to 2 points for completed eligible engagement activities. PY 2025 scores achievement and improvement points for each hospital’s selected episode spending conditions and value metrics using index admissions from 2024 performance year data against admissions in 2022 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 2025 scoring were index events 1/1/2024 – 12/31/2024 for BCBSM PPO Commercial, BCBSM Medicare Advantage (MA), BCN HMO Commercial, BCN HMO MA, and index events from 1/1/2024 – 6/30/2024 for Medicare FFS. The engagement points accrued represent all completed activities from 1/1/2025 – 7/31/2025. All scores are subject to change in the final scorecards as the remaining 2024 performance data becomes available and additional 2025 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 6.3 out of 10. This average is 0.3 points lower than the average points scored at the conclusion of PY 2024.

Figure 1.

dot graph

Figure 2 illustrates the breakdown of scoring on average by each program component (i.e., episode spending metric, value metric, engagement points). Hospitals could earn up to four points for their episode spending and value metric selections, and up to two points for engagement activities completed in 2025. Across the collaborative, the average points scored for both episode spending and value metrics was 2.6 points, and 1.2 points for engagement activities.

Figure 2.

vertical bar chart of average score across hospitals for episode spending metric, value metric, engagement points

Figure 3 illustrates the breakdown of the average points by episode spending conditions. Coronary Artery Bypass Grafting (CABG) was the highest scoring episode spending condition with an average of 3 points, and this was closely followed by joint replacement with 2.7 points. The lowest scoring episode spending condition was pneumonia with hospitals earning less than 2 points on average.

Figure 3.

vertical bar chart of average points by episode spending conditions

Figure 4 illustrates the breakdown of average points by value metrics. Consistent with PY 2024, the highest scoring value metric was preoperative testing with 3.9 points followed by 30-day inpatient readmissions after sepsis with 3.2 points. The lowest scoring value metric was 7-day follow up after pneumonia and follows the same trend as that of PY 2024 with 1.8 points.

Figure 4.

vertical bar chart of average points by value metrics

This is the second year of a two-year (PY 24-25) P4P cycle. The full methodology for this program cycle can be found in the PY2024-2025 technical document.

In addition to the PY 2025 mid-year scorecard summary, this report also included a preview of the new health outcome variation measure scoring, which will be worth one point in PY 2026-2027 (Figure 5). The table presents the hospital’s payer-specific risk-adjusted readmission rates in the performance year, the baseline and performance indexes for the hospital, and the target indexes required to score a point via improvement or achievement. This table’s scoring is based on PY 2025 data (i.e., 2024 performance year data and 2022 baseline data). Please note that this table was included to help orient members to the scoring methodology for this new measure and does not impact PY 2025 scores. For detailed information about this measure, please refer to this introductory video and PY 2026-2027 P4P technical document.

Figure 5.

Table presents the hospital’s payer-specific risk-adjusted of readmission rates in the performance year, the baseline and performance indexes for the hospital, and the target indexes required to score a point via improvement or achievement.

These PY 2025 P4P mid-year scores are subject to change as new data is added. The final scores will be distributed after all 2024 claims are incorporated into the calculations. Hospitals can track their score via the P4P PY 2024-2025 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 [EMAIL] for a walkthrough of your hospital’s PY 2025 mid-year scorecard or P4P registry reports.

23 Apr 2025
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MVC Announces Agenda, Speakers for Spring Collaborative-Wide Meeting

MVC Announces Agenda, Speakers for Spring Collaborative-Wide Meeting

April 23, 2025 | 0 Comments | , , ,

The MVC Coordinating Center is excited to announce the agenda for its spring collaborative-wide meeting on Fri., May 9, 2025, from 10 a.m. – 3 p.m., at the H Hotel in Midland, MI. This meeting’s theme of “collaboration in action” reflects a focus on partnerships, collaborating to overcome barriers, and leveraging data to shape improvement projects. Those interested in attending MVC's spring collaborative-wide meeting can learn more and register here.

MVC Director Hari Nathan, MD, PhD, and Managing Director Mark Bradshaw, MSc, will kick off the day with Coordinating Center updates as well as announcements about the MVC Component of the Blue Cross Blue Shield of Michigan (BCBSM) Pay-for-Performance (P4P) Program. This will be followed by a new engagement awards ceremony and a presentation about statewide trends in quality improvement efforts, both presented by MVC Engagement Manager Jessica Souva, MSN, RN, C-ONQS.

The meeting includes a mid-morning poster session with 11 presenters highlighting success stories and research across the broader CQI portfolio. This is one of several opportunities to network with peers.

MVC Associate Program Manager Jana Stewart, MS, MPH, will present on recent MVC partnerships with other CQIs that drove site-level quality improvement initiatives. In addition to providing updates on these partnerships and their respective progress, Stewart will also share new priorities related to cardiac rehabilitation, preoperative testing, and ED-based episodes of care. This presentation will include unblinded data on key measures for all three topics, including new data on mental health comorbidities among patients treated in the emergency department. Attendees will be able to benchmark their site’s performance on a variety of metrics and come away with ideas for site-level interventions to implement.

After lunch and open networking, the afternoon features 10 concurrent interactive roundtables covering a wide variety of topics. From collaboration across academic and system units, behavioral health, and data reporting topics to a variety of patient-centered initiatives and more, the roundtables offer something for everyone. Attendees will join between two and three 15-minute discussions as they rotate to different roundtable speaker presentations. One of these options includes a longer 30-minute fireside chat with Hari Nathan, MD, PhD, on system-level approaches to quality improvement.

New this year is an innovation station that will be available throughout the day. It will feature a variety of stations where attendees can interact, leave suggestions, and connect with peers. The day will conclude with closing remarks and next steps with Jana Stewart, MS, MPH.

The deadline to register for MVC’s spring collaborative-wide meeting is April 28. We look forward to seeing you there!

 

26 Feb 2025
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CHF and New 14-Day Follow-Up After Sepsis Top Selections for MVC P4P PYs 2026-2027

CHF and New 14-Day Follow-Up After Sepsis Top Selections for MVC P4P PYs 2026-2027

February 26, 2025 | 0 Comments |

In November 2024, the MVC team distributed selection reports to eligible hospitals for Program Years (PY) 2026-2027 for the MVC Component of the Blue Cross Blue Shield of Michigan (BCBSM) Pay-for-Performance (P4P) Program. These reports were provided in conjunction with details pertaining to the selection process as well as changes to the program structure, scoring methodology, and cohort assignments for the upcoming two-year cycle.

All eligible hospitals returned their selections by the December 2024 deadline, and are now treating the patients who will make up their performance year data for PY 2026 of the new cycle. The program cycle will award a maximum of 10 points, made up of a maximum of three points from their selected episode spending metric, a maximum of four points from their selected value metric, a maximum of two points for engagement activities completed in calendar year 2026, and a maximum of one point for the health equity measure (a new component). Please refer to the previous blog about program structure changes for PYs 2026-2027 for more detail.

Each participating hospital selected one of the four available conditions for 30-day episode spending: chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), coronary artery bypass graft (CABG), and percutaneous coronary intervention (PCI). See Figure 1 for a description of the total selections for each episode spending condition. The episode spending metric that most hospitals selected was CHF (32), followed by COPD (16). The number of sites selecting CHF for episode spending in PYs 2026-2027 increased from 21 to 32 compared to PYs 2024-2025; selections for COPD doubled from 8 to 16 compared to PYs 2024-2025. Figure 2 shows that the distribution in episode spending selections varied when stratified by MVC regions of Michigan. However, CHF was the most selected condition within all regions.

Figure 1. Total Hospital Selections for PYs 2026-2027 Episode Spending

vertical bar graph: Total Hospital Selections for PYs 2026-2027 Episode Spending

Figure 2. Distribution of Episode Spending Selections by MVC Regions

vertical bar graph: Distribution of Episode Spending Selections by MVC Regions

Each participating hospital also selected one of the seven available value metrics for evaluation based on rates of utilization: cardiac rehabilitation after CABG, cardiac rehabilitation after PCI, 7-day follow-up after CHF, 14-day follow-up after COPD, 7-day follow-up after pneumonia, 14-day follow-up after sepsis, and preoperative testing. Figure 3 illustrates that the value metric selected by the most hospital members was the newly introduced 14-day follow-up after sepsis metric (19) and this was followed by cardiac rehabilitation after PCI (16). Both of these metrics align with the work and measures used at peer CQIs (HMS and BMC2, respectively). Compared to selections from the previous PY 2024-2025 cycle, the number of hospitals that selected preoperative testing doubled from 6 to 13, while selections for 7-day follow-up after CHF decreased from 24 to 15. None of the hospitals selected 7-day follow-up after pneumonia, and the number of hospitals that chose cardiac rehabilitation value metrics did not change much between program cycles.

As seen in Figure 4, there was variation in the distribution of value metric selections by MVC region. Regions 1 & 3 observed similar trends with 14-day follow-up after sepsis selected the most and cardiac rehabilitation after CABG selected by none of the sites. Cardiac rehabilitation after PCI was the most selected value metric in region 4, followed by preoperative testing. In region 2, both preoperative testing and 7-day follow-up after CHF were the most selected value metrics.

Figure 3. Total Hospital Selections for PYs 2026-2027 Value Metrics

vertical bar graph: Total Hospital Selections for PYs 2026-2027 Value Metrics

Figure 4. Distribution of Value Metric Selections by MVC Regions

vertical bar graph: Distribution of Value Metric Selections by MVC Regions

Brand new in PYs 2026-2027 will be the health outcome variation measure, for which all participating hospitals will be evaluated using an index of variation that indicates the magnitude of payer-specific differences in risk-adjusted all-cause readmission rates within a hospital. P4P cohorts were reassigned for PYs 2026-2027. Those cohort assignments and the new technical document have been published on the MVC website’s P4P page. The cohorts were not intended to group hospitals alike; rather, they create a reasonably comparable grouping from which MVC can complete statistical analysis.

MVC’s P4P measure began in 2018 when BCBSM allocated 10% of its P4P program to an episode of care spending metric based on MVC data. If you have questions about any aspect of the MVC Component of the BCBSM P4P Program, please contact the MVC Coordinating Center.

18 Feb 2025
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MVC Distributes PY 2024 Final Scorecards for MVC Component of the BCBSM P4P Program

MVC Distributes PY 2024 Final Scorecards for MVC Component of the BCBSM P4P Program

February 18, 2025 | 0 Comments | , ,

The Michigan Value Collaborative (MVC) Coordinating Center distributed final scorecards for Program Year (PY) 2024 of the MVC Component of the Blue Cross Blue Shield of Michigan (BCBSM) Pay-for-Performance (P4P) Program. This report provided hospitals with their final score for PY 2024 as well as detailed breakdowns by scoring component. This was the first year of a two-year cycle for which MVC claims data was used to score hospitals on their episode spending and value metric selections. PY 2024 used baseline year claims data from 2021 and performance year data from 2023.

The episode spending conditions for which MVC is scoring hospitals for PY 2024 include chronic obstructive pulmonary disease (COPD), colectomy (non-cancer), congestive heart failure (CHF), coronary artery bypass graft (CABG), joint replacement (hip and knee), and pneumonia. These conditions differ slightly from the list of episode spending conditions available in the PY 2026-2027 cycle (view PY 2026-2027 FAQ). Figure 1 shows the frequency of hospital selections for the PY 2024-2025 program cycle for episode spending; the plurality of hospitals selected joint replacement, whereas pneumonia was selected the least.

Figure 1. Frequency of Hospital Selections for PY 2024-2025 Episode Spending

vertical bar graph: Frequency of Hospital Selections for PY 2024-2025 Episode Spending

The value metrics for which MVC scored hospitals for PY 2024 included cardiac rehabilitation after CABG, cardiac rehabilitation after percutaneous coronary intervention (PCI), follow-up after CHF, follow-up after COPD, follow-up after pneumonia, preoperative testing, and risk-adjusted readmissions after sepsis. Figure 2 shows that the plurality of hospitals selected 7-day follow up after CHF, and both 90-day cardiac rehab after CABG & 30-day inpatient readmissions after sepsis were selected the least.

Figure 2. Frequency of Hospital Selections for PY 2024-2025 Value Metrics

vertical bar graph: Frequency of Hospital Selections for PY 2024-2025 Value Metrics

The MVC Component of the BCBSM P4P Program evaluated each participating hospital’s risk-adjusted, price-standardized, average 30-day episode payments for their selected condition as well as rates of utilization for their selected value metric through two methods. Hospitals earned points via "improvement" by reducing their payment or improving their utilization rate from the baseline period, or alternatively earned "achievement" points by being less expensive or having a better relative utilization rate than the peers in their designated cohort. The MVC cohorts are groups of hospitals determined to be peers using factors such as hospital bed size and case mix index.

While hospitals were scored on both improvement and achievement, members received the higher of those two scores for each of their selections. Hospitals were also eligible to receive engagement points by completing eligible MVC activities. A maximum of 10 points (4 points each for the selected episode spending condition and value metric, 2 points from engagement activities) were awarded to participating members. The distribution of total points earned by hospitals for the PY 2024 is illustrated in Figure 3.

Figure 3. Distribution of Total Points Earned by Hospitals for PY 2024

vertical bar graph: Distribution of Total Points Earned by Hospitals for PY 2024

On average, hospitals earned 6.6 points in total, a decrease of 0.8 points from the PY 2023 average of 7.4 points. Figure 4 shows that the episode spending condition with the highest average awarded points was joint replacement (3.1 points) followed by CABG (2.3 points). Similarly, Figure 5 shows that the value metric with the highest average awarded points was preoperative testing (3.3 points) followed by 90-day cardiac rehabilitation after PCI (2.7 points). The breakdown of average points by each program component is illustrated in Figure 6. On average, hospitals earned 1.7 of the 2 available engagement points.

Figure 4. PY 2024 Episode Spending Average Points Awarded for Each Condition

vertical bar graph: PY 2024 Episode Spending Average Points Awarded for Each Condition

Figure 5. PY 2024 Value Metrics Average Points Awarded for Each Selection

vertical bar graph: PY 2024 Value Metrics Average Points Awarded for Each Selection

Figure 6. Average Points Earned for Each Program Component Across Hospitals

vertical bar graph: Average Points Earned for Each Program Component Across Hospitals

If you have any questions regarding PY 2024 of the MVC Component of the BCBSM P4P Program, please refer to the MVC P4P PY 2024-2025 Technical Document. If you would like to set up a meeting to review your hospital’s program year selections or scores, please contact the Coordination Center [EMAIL]. MVC will evaluate and release mid-year scorecards for PY 2025 in the summer of 2025.