Consortium of Independent Physician Associations (CIPA)

Who We Are

The Consortium of Independent Physician Associations (CIPA) is a statewide provider network consisting of approximately 50 independent physician associations (IPAs), physician hospital organizations (PHOs), health centers and group practices representing about 1,600 physicians.

Established in 2005, the network allows these entities to maintain independence, collaborate with local physicians, and participate in the Blue Cross Blue Shield of Michigan (BCBSM) Physician Group Incentive Program (PGIP). PGIP is an innovative program with approximately 15,500 physicians in Michigan who collaborate on initiatives to transform their practices and improve the health care system. CIPA is one of the largest networks participating in PGIP. CIPA has helped approximately one-third of its physician practices earn not only BCBSM Patient-Centered Medical Home (PCMH) designation, but also earn significant additional reimbursement.

What We Do

CIPA physicians work on a variety of initiatives to transform health care in the state through PGIP. These initiatives help position physician practices on the leading edge of health care transformation efforts nationwide. Physicians can earn additional financial incentives or rewards for their efforts while improving the quality of patient care across Michigan. In the past three years, CIPA has distributed more than $10 million in incentives to physician and physician organizations participating in PGIP.

Member Benefits

CIPA contracts with Medical Advantage Group to provide the required infrastructure development and practice transformation support essential for successful PGIP participation. Through this partnership, Medical Advantage Group provides the following services to CIPA members:

  • PCMH facilitation (in practice) and preparation for each annual nomination
  • PCMH best practice learning sessions
  • PCMH toolkit
  • BCBSM claims-based physician and physician organization performance reports
  • Access to web-based performance reporting tool
  • Performance improvement consultation (in practice)
  • Health information technology consultation, training and first level technical support
  • Educational workshops
  • Data analysis, research, membership and program management

CIPA At-A-Glance

Established

2005

Physician Groups

Approximately 50 IPAs, PHOs, health centers, and group practices

Members2

  • 1,660 Physicians

 

  • 660 Primary care physicians

 

  • 1,000 Specialty care physicians

Patient-Centered Medical Homes3

  • 300 Primary care physicians
  • 117 Practices

Total Patients4

198,960

Clinical Quality Improvement Initiatives

Approximately 34 PGIP initiatives, including:

  • Evidence-based care tracking
  • Accelerating the adoption and use of electronic prescribing
  • Patient registry
  • Cardiac care
  • Chronic kidney disease
  • Emergency Department utilization
  • Transitions of care

Incentives and Rewards

  • In the past three years, CIPA has distributed nearly $10 million in incentives to physicians and physician organizations participating in PGIP
  • CIPA PCMH practices receive at least a 10% increase in their BCBSM evaluation and management codes
  • Thirty percent of CIPA PCMH practices currently receive a 20% increase in their BCBSM evaluation and management codes

Membership Requirements

To enroll in PGIP, physician must participate in BCBSM’s PPO and Traditional networks

Membership Fee

No membership fee, withholds or long-term contracts

Enrollment

Ongoing