Physicians Health Plan began in 1980, when Sparrow Health System and a group of visionary physicians began developing mid-Michigan's first broad-based Independent Practice Association model HMO. An IPA is made up of a network of local physicians, hospitals, and other professionals who deliver a full continuum of care. In 1982, PHP's first products were introduced to the market. Today PHP remains a division of SHS with more than 1,300 practitioners and 11 hospitals participating in PHP’s provider network.  

Physicians Health Plan is governed by a Board of Directors composed of adult PHP enrollees, residents of the community, participating physicians, and hospitals. The PHP Board of Directors is responsible for establishing and overseeing corporate policy, and is supported by designated committees covering areas such as operations, quality improvement, care coordination, finance, credentialing, and pharmacy and therapeutics.

Our board members are:

• MaryLee Davis, PhD - Chairman
• Wendell Barron - Vice-Chair
• Randy Rifkin - Secretary
• Diana Rodriguez Algra
• Richard Bruner
• MaryLee Davis, PhD
• Patrick Gribben, Jr.
• Bradley Hoopingarner, MD
• Larry Rawsthorne, MD
• Randy Rifkin
• Kenneth Rudman, MD
• Dawn Springer, MD
• Dennis Swan
• Scott Wilkerson

 

The National Committee for Quality Assurance has awarded Physicians Health Plan its highest accreditation status of "Excellent" for both its Commercial HMO/POS combined product lines and Medicaid product line.

Accreditation is based, in part, on the Health Plan Employer Data and Information Set. HEDIS^®, a registered trademark of the NCQA, is a set of standardized performance measures that ensure purchasers and consumers have the information they need to reliably compare health care quality.

NCQA evaluates how well a health plan manages all parts of its delivery system -- physicians, hospitals, other providers and administrative services -- in order to continuously improve health care for its members.

During the accreditation process, PHP was measured against rigorous standards in the areas of:

• Customer service and addressing member concerns
• Providing high credentialing standards of providers
• Responding to member and practitioner issues
• Listening to and addressing feedback of new members

For more information about NCQA health plan accreditation, visit www.ncqa.org.

Our Mission
To improve the health status of our members by facilitating access to quality, compassionate, accessible, and cost-effective health services through organized health delivery systems.
 

Our Vision
To be the premier health financing organization, known for its ability to improve the health status of its members and for its service, quality, innovative and cost-effective financing solutions for employers, individuals, purchasers, and governmental agencies.
 

Why We Serve
To improve the health status of our members by providing quality, compassionate, accessible, cost-effective health services through an organized health delivery and financing system.
 

Who We Serve
We primarily serve employers and their employees as well as members eligible for Medicaid who have chosen PHP as their health plan.
 

We Will Achieve Our Vision By:
 

• holding our health delivery networks accountable for improving the health status of our members through the promotion of healthy lifestyles and disease prevention
   
• maintaining exceptionally high member and purchaser satisfaction levels
   
• advocating for the health needs of the membership
   
• providing a portfolio of products that are value-driven and deliver measurable quality, compassionate, accessible, cost-effective health
   
• working collaboratively with healthcare providers by aligning incentives to focus on quality cost-effective care
   
• achieving active and significant community participation in governance
   
• finding solutions from the employer's human resource perspective
   
• working collaboratively with brokers and agents
   
• ensuring financial viability by maintaining appropriate medical-cost-to-premium ratios in all health plan products
   
• providing meaningful information to purchasers and providers

Our Values
Our butterfly logo is more than an organizational icon for PHP. Its design embodies, for employees, members and physicians, the core values which define us as an organization. In the center of our mark, the heart symbolizes the compassion and empathy that guides our treatment of everyone, particularly those needing health services, who are often most vulnerable.
 

The butterfly itself, which changes constantly as it develops and grows, represents the evolving nature of healthcare with freedom of choice for plan members among providers and services.
 

From the butterfly's wings, two faces engage each other. They represent the primary relationships, based on trust, that define us: physician and patient, Plan and purchaser, Plan administration and member, Plan and provider. These interactions form the basis of service quality and satisfaction.
 

Our mark in the community stands as a testament to what we believe, what we practice, and what we strive to become every day.