Incentive Programs

2007 Partners in Performance (PIP) Payments

We will combine PIP third-quarter and year-end settlement payments and distribute them in April 2008. If you have questions, contact your physician account executive (PAE) directly, or through the Provider Helpline at 616 942-4765 or 800 942-4765.

Patient Profile Update

Patient Profile will be updated for 2008 PIP searches within the next few weeks. Contact your PAE directly or through the Provider Helpline if you have questions.

Updated Benchmarks

Please note that the benchmark for HMO/POS and PPO Chlamydia is 49%, and the benchmark for both childhood and adolescent immunizations is 81%. These were stated incorrectly in previous communications. An updated PIP benchmark chart is below:

Measure	2008 Payout	2007 Payout	2008 Benchmark	2007 Benchmark
Disease Management
Diabetes - Controlled HbA1c	$100	$100	60% / 52% *	60%
Diabetes - Controlled LDL-C	$80	$80	51% / 44% *	53%
Diabetes - Monitoring for Nephropathy	$25	$25	87% / 86% *	85%
Diabetes - Annual Retinal Exam	$25	$25	71% / 68% *	69%
Diabetes - Blood Pressure Control	$100	$100	44% / 43% *	44%
Hypertension - Controlled Blood Pressure	$75	$90	68%	76%
Asthma	$100	$100	78% / 75% *	78%
Persistence of ACE/ARB Statin Therapy	$50	New Measure in 2008	36%	New Measure in 2008
Preventive Health
Childhood Immunizations	$175	$175	81%	87%
Adolescent Immunizations	$65	$65	81%	81%
Cervical Cancer Screenings	$10	$10	87%	88%
Mammography	$10	$10	77%	80%
Tobacco Status and Advice	$.15 pmpm	$.15 pmpm	90%	90%
BMI	$.15 pmpm	$.15 pmpm	90%	90%
Chlamydia Screenings	$15	$15	49% / 66% *	46%
Patient Satisfaction, Access & Availability
Open and Closed Status	$.25 pmpm	Measure Removed	Open 12 Months or 500 Mbrs	Measure Removed
Efficiency
Generic Prescriptions Filled	Shared Savings with Practice-Based Scoring and Settlement	Shared Savings with PFP Group-Based Scoring and Settlement	Shared Savings Begins at 70%	Benchmark
High-Tech Radiology Events per Thousand	Shared Savings with Practice-Based Scoring and Settlement	Shared Savings with PFP Group-Based Scoring and Settlement	Two methods - please refer to Technical Manual	Benchmark

* The first benchmark listed represents HMO/POS, ASO/PPO and Medicare Advantage plans. The second benchmark represents Medicaid plan members.

PIP 2008 - Preventive Health: Chlamydia Screening

The percentage of women 16-25 years of age who were identified as sexually active and had at least one test for Chlamydia during 2008.

Product Lines	HMO/POS, ASO/PPO, Medicaid
Ages	16-25 years of age as of Dec. 31, 2008
Continuous Enrollment	The measurement year with no more than one gap in enrollment of up to 45 days
Event/Diagnosis	Sex and age

PIP tip:
The Michigan Department of Community Health offers free mail-in urine Chlamydia lab kits. To learn more, or to order supplies, please contact your PAE directly or through the Provider Helpline at 616 942-4765 or 800 942-4765.

Requirements for EMR Incentive Program

Watch your e-mail for upcoming information on the 2008 requirements for the Electronic Medical Record (EMR) incentive program. We will provide a form for you to report on EMR implementation for 2007 Phase One participants. The form also will include an attestation section related to the 2008 Phase Two interoperability requirements. The completed forms will be due on March 31, 2008. Your PAE will e-mail more information and forms to you soon.

Immunization Notice

Immunizations may show as being complete in the Michigan Care Improvement Registry (MCIR); however, this does not guarantee the measure is met for PIP. MCIR sometimes allows "make-up time" to complete needed immunizations. PIP adheres to HEDIS® rules, which requires immunizations to be completed by the child’s 2nd or 13th birthday. Contact your PAE if you would like additional information.