Michigan

The Michigan Primary Care Transformation Project (MiPCT) is one of the oldest and longest-running multi-payer initiatives for patient-centered medical homes (PCMH). It was developed in 2010 as a multi-payer initiative to test the value of the PCMH model of care. In July 2013, Blue Cross Blue Shield of Michigan, the largest commercial payer in the program, reported savings of $155 million over the first three years of the program. Building on this success Michigan has made plans to expand their network of PCMH's as the foundation for their statewide health care improvement efforts. In January 2014, the Michigan Governor's Office submitted the Blueprint for Health Innovation, Michigan's State Health Care Innovation Plan. The six foundation components for the Blueprint include:

Patient-centered medical homes
Provide care coordination to improve health care outcomes for individauls requiring intensive support services
Community health innovation regions to improve population health
Improve systems of care
System improvements to reduce administrative complexity
Contain health care costs and shift to value-based payment models

The Blueprint proposes to develop Accountable Systems of Care comprised of medical homes, specialists and hospitals with the capacity to integrate clinical care across settings. On December 30, 2013, CMS granted approval for Michigan to amend its Healthy Michigan 1115 demonstration waiver to implement Medicaid expansion to all adults with incomes up to and including 138% of the Federal Poverty Level beginning on April 1, 2014.

Primary Care Innovations and PCMH Activity

Dual Eligible	2703 SPA	CPC	CPC+	PCMH QHP	PCMH Legislation	Private Payer

Multi-Payer Programs

Program Name	Payer Type	Coverage Area	Parent Program	Outcomes
Michigan Comprehensive Primary Care Plus	Multi-Payer	Statewide	CMS Comprehensive Primary Care Plus (CPC+)
The Michigan Primary Care Transformation Project (MiPCT) - Michigan	Multi-Payer	Statewide	Multi-Payer Advanced Primary Care Practice (MAPCP)

Public Payer Programs

Program Name	Payer Type	Coverage Area	Parent Program
Altarum Institute's reducing childhood dental disease program	Grant		CMS Health Care Innovation Award (Round 2)
CMS Health Care Innovation Award - Michigan Public Health Institute	Grant	Ingham county and the cities of Saginaw and Muskegon	CMS Health Care Innovation Award (Round 1)
CMS State Innovation Model (SIM) Test Award - Michigan	Grant	Statewide	CMS State Innovation Model (SIM)
Gateway to Health: An Innovative Model for Primary Care Expansion in Detroit	Grant	Detroit area	CMS Health Care Innovation Award (Round 2)
Marquette General Health Medical Neighborhood Demonstration - Michigan	Grant	Marquette	CMS Health Care Innovation Award - PCMN Demonstration
Michigan Health Homes	Medicaid		ACA Section 2703 Health Homes
Michigan Health Link	Medicare, Medicaid	Barry, Berrien, Branch, Calhoun, Cass, Kalamazoo, St. Joseph, and Van Buren counties	CMS Dual Eligible Demonstration
Michigan Pioneer ACO - CMS Pioneer ACO	Medicare	Southeastern Michigan	CMS Pioneer ACO
PTN - Great Lakes Practice Transformation Network	Grant	Michigan, Illinois, and Indiana	Transforming Clinical Practices Initiative (TCPI)
Understanding What Works: Improving Primary Care Physicians’ Performance for High-Cost, High-Need Patients	Grant

Private Payer Programs

Program Name	Payer Type	Coverage Area	Parent Program
Blue Cross Blue Shield of Michigan Physician Group Incentive Program	Commercial	Statewide	Blue Cross Blue Shield Value-Based Care Program
Humana medical home program - Borgess Health	Commercial	Kalamazoo	Humana Medical Home Program
Humana medical home program - Greater Macomb PHO	Commercial	Clinton Township	Humana Medical Home Program
Humana medical home program - Henry Ford Health System	Commercial	Wyandotte	Humana Medical Home Program
Humana medical home program - Metro Health PHO	Commercial	Grand Rapids	Humana Medical Home Program
Humana medical home program - Michigan Healthcare Professionals	Commercial	Farmington Hills	Humana Medical Home Program