The Pulse is the bi-weekly e-newsletter from The Physician Alliance, one of Michigan's largest physician organizations serving more than 2,200 primary care and specialty physicians.
The Pulse of The Physician Alliance
Friday, January 19, 2018
Updated payout summary available
Updated payout summaries are available for Blue Care Network Commercial and Medicare Plus Blue PPO. The 2018 summaries include key quality measures, targets and amount paid per service.  
The summary form is available on The Physician Alliance under the Resources Primary Care tab, or by clicking here to view the form.  
Cardiology lecture offers CME credits
Cardiology Associates of Michigan is hosting a complimentary education lecture on Tuesday, Jan. 23 from 6-9pm.

Topics included in the program:
  • Indications and Appropriateness for invasive cardiac evaluation.
  • Indications and Appropriateness for percutaneous and surgical re-vascularization.
  • When to refer for chest pain symptoms: an open discussion.
Speakers: Omar Kashlan, MD and Sherezade Khambatta, DO from Cardiology Associates of Michigan

Location: Romeo Plank Medical Center, 46591 Romeo Plank Rd., Macomb 48044

Food and beverage provided. The program offers 3 CME credits to participants.

For registration and questions, contact Ryan Wall at

Provider delivered care management updates announced
Blue Cross Blue Shield of Michigan recently announced updates to the Provider Delivered Care Management program. A summary of the updates is available on The Physician Alliance website, including the requirements to receive the 2018 PDCM value-based reimbursements (VBR). These changes should enable more practices to attain this VBR. 
The most current information regarding attainment of the 2019 PDCM VBR is also included in the updates. BCBSM has taken into consideration recommendations made by The Physician Alliance and other physician organizations across the state in developing the new guidelines to help ensure successful attainment of the 2019 PDCM VBR for as many practices as possible.
There are also changes to the Provider Delivered Care Management-Specialist (PDCM-S) program - orthopedics, as well as oncology, cardiology, pulmonology, nephrology, endocrinology and palliative care, can now bill for PDCM services when PDCM-S requirements are met.
BCBSM also shared 15 groups that DO NOT have the PDCM benefit in 2018. Practices should confirm the group NUMBER, not just the group name when determining eligibility.

View the PDCM updates summary here. Contact Fran Burley, MSN, RN, CPHQ, at with questions.

News you can use

 With CHIP Funds Running Low, Doctors And Parents Scramble To Cover Kids' Needs, Kaiser Health News
Despite Prod By ACA, Tax-Exempt Hospitals Slow To Expand Community Benefits, Kaiser Health News
Changes to Medicaid could accelerate hospital closures, Crain's Detroit
When You Need A Mammogram, Should You Get One In '3-D'?, NPR
Flu Season Is Shaping Up To Be A Nasty One, CDC Says, NPR
Trump's Work-For-Medicaid Rule Puts Work On States' Shoulders, Kaiser Health News
Transworld Systems assists practices with debt collection and delinquent accounts receivables. Transworld offers new automated solutions to help practices recover past due patient accounts and reduce slow pay concerns. TPA members receive discounts on services.

Learn about this Affiliate Partner.
The Physician Alliance | 20952 Twelve Mile, Suite 130, St. Clair Shores MI 48081 | 586-498-3555 |