Physician Group Incentive Program (PGIP): Expectations

How To Join PGIP

What are the qualifications for participation?

To form an independent PGIP physician organization, the following is required:

• A physician organization must be composed of preferably 75 or more BCBSM TRUST or Traditional physicians, 50 of whom must be practicing as primary care providers (e.g., Internal Medicine, Pediatrics, Family Practice, General Practice).
• A partnership, association, corporation, individual practice association or other legal entity that has its own Tax ID and can receive and distribute income among the physician organization's members.

In addition:

• Participating physicians must be board certified in one of the defined specialties,
• All physicians participating in PGIP through the physician organization must participate with BCBSM TRUST PPO and be in good standing with the network.
• Physicians are limited to participation with only one physician organization for purposes of the incentive program.

How do we apply?

Applications to form new PGIP Physician Organizations are accepted in the spring of each year for inclusion starting January of the following year

We will send you the Physician list template to complete and e-mail back to us within seven business days. Once your list of physicians is accepted, we will e-mail you the:

• Program standards
• Applicatuion program agreement
• Surveys
• Goals

Please print these documents, complete them, and mail them (two signed copies of the agreement so that we can send a BCBSM signed copy back to you) to the following address:

Blue Cross Blue Shield of Michigan
600 East Lafayette Blvd. - 508B
Detroit, MI 48226
Attn: Elizabeth Chouinard

Physician organizations accepted for the program must sign a contractual agreement, which is included in the application package.

Who do we contact for more information?

If you are an individual practitioner with questions about participating in PGIP, contact your provider consultant.

If you represent a physician organization, contact Provider Partnerships at providerpartnerships@bcbsm.com.