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Annual Member Meeting May 9, 2018

Annual Member Meeting May 9, 2018. Confidential Property of Quality Care Providers, Inc. Agenda. Welcome Introductions Annual Member Update Treasurer’s Report Closing Remarks. Questions. Please submit questions to contact@qcpi.org Questions will be addressed after Officer reports.

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Annual Member Meeting May 9, 2018

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  1. Annual Member Meeting May 9, 2018 Confidential Property of Quality Care Providers, Inc.

  2. Agenda • Welcome • Introductions • Annual Member Update • Treasurer’s Report • Closing Remarks Confidential Property of Quality Care Providers, Inc.

  3. Questions • Please submit questions to contact@qcpi.org • Questions will be addressed after Officer reports Confidential Property of Quality Care Providers, Inc.

  4. Current QCPI Board of Directors • Miles E. Brett, MD • Joel A. Goldstein, MD • S. Catherine Alexander, MD • Kenneth E. Jones, MD • Michael J. Kinstler, MD • Joseph M. Rosenfeld, MD • Jitendra “J.T.” Singh, MD • Imani D. VanNoy, MD • J. Vincent Vigil, MD Confidential Property of Quality Care Providers, Inc.

  5. Bylaws Amended and QCPI Board of Directors • Bylaws were amended as of March 21st; notice of this amendment was sent to the network • The size of the Board was reduced from 9 to 5 members to reflect changes in QCPI’s manner of conducting business and to make transacting business more efficient • Immediately following Annual Meeting, new Board of Directors will be: • Miles E. Brett, MD • Joel A. Goldstein, MD • Michael J. Kinstler, MD • Imani D. VanNoy, MD • J. Vincent Vigil, MD Confidential Property of Quality Care Providers, Inc.

  6. QCPI Staff • Stephanie Atkinson, Executive Director, Physician Network Director • Steve Robey, MBA, MHA, Director, Medical Analytics • Rebecca Warthen, RN, Clinical Nurse Director • Cindy Toler, Sr. Provider Relations Manager • Sherry Vallee, LPN, Clinical and Network Nurse Coordinator • Vicki Smith, RN, Clinical Nurse Coordinator • Jodi Duncan, Network Service Representative • Vera Copeland, CMA, Executive Assistant Confidential Property of Quality Care Providers, Inc.

  7. Products BCBSGA HMO/POS Contract: • BlueChoice Healthcare Plan (HMO) and BlueChoice Option (POS) • Blue Open Access HMO/POS • Includes State Health Benefit Plan (POS) • Exchange Products • Pathway Open Access HMO • Pathway Guided Access HMO Confidential Property of Quality Care Providers, Inc.

  8. Network Updates New Team Member • Jodi Duncan, Network Services Representative Going Paperless • Implemented Electronic Document Management System • Streamlined Credentialing/Contracting • In Development • Recognize & Reward Audits • Annual Physician Quality Report • QCPI needs your current email address. Please send to jduncan@qcpi.org Confidential Property of Quality Care Providers, Inc.

  9. New Address • QCPI is moving just up the block on Peachtree Road! • Effective May 21st, QCPI’s new address will be: 3445 Peachtree Rd, NE Suite 1200 Atlanta, GA 30326 Confidential Property of Quality Care Providers, Inc.

  10. BCBSGA BCBSGA • Restructured its Provider Solutions team (f/k/a Provider Relations) to improve response time to provider issues • Central mailbox for provider inquiries (non-delegated groups) • BCBSGaProviderInquiries@bcbsga.com • 2018 Upcoming Provider Town Hall Meetings • May 15th | The Hughston Foundation, Columbus, GA • June 12th | St. Mary’s Healthcare, Athens, GA • July 17th | Gainesville Civic Center, Gainesville, GA • August | TBD, Augusta, GA • September | TBD, Macon, GA • October | TBD, Atlanta, GA Confidential Property of Quality Care Providers, Inc.

  11. Free Standing Imaging Options American Health Imaging Call 855-MRI-CHOICE or Visit AmericanHealthImaging.com Confidential Property of Quality Care Providers, Inc.

  12. Free Standing Imaging Options Scheduling: (855) 325. 5905 Confidential Property of Quality Care Providers, Inc.

  13. VillageMD • VillageMD collaboration is ongoing • For PCPs who do not join VillageMD, there is no change in how to access Blue Cross HMO products – still go through QCPI • QCPI continues to work actively on behalf of all PCPs in the QCPI network • VillageMD remains an option for QCPI MDs Confidential Property of Quality Care Providers, Inc.

  14. Clinical Quality Integration • Clinical Quality Integration is a process which aligns a physician group’s quality of care with its financial reimbursement on BCBSGA managed care products • CQI Program includes both Open Access and traditional HMO/POS products • Network is clinically and financially integrated • 2018 CQI Metrics communicated in February – visit qcpi.org • Technology Metric • Availity Usage: for member eligibility, benefits and claim inquiries instead of using the telephone Confidential Property of Quality Care Providers, Inc.

  15. Clinical Quality Integration Blue Open Access HMO/POS Products: • Commercial HMO/POS: PCP groups are re-tiered, at least annually, to one of three fee-for-service fee schedules based upon a subset of metrics – applied uniformly to groups BlueChoice Healthcare Plan (HMO)/ BlueChoice Option (POS) -Traditional HMO/POS Products: • Differential cap tables and fee-for-service fee schedules assigned annually based upon a subset of metrics – applied uniformly to groups Confidential Property of Quality Care Providers, Inc.

  16. Clinical Quality Integration Physician Quality Report (PQR): • Communicates benchmark data to help you understand key factors – quality, utilization, and resource use with the goal of continuously improving the quality of your care • Provides feedback to you on how you manage your HMO/POS patient panels relative to other QCPI PCPs • Fee Schedule determinations are communicated with Physician Quality Report • 2017 Physician Quality Report / notification of new fee schedule assignments will be communicated this summer Confidential Property of Quality Care Providers, Inc.

  17. 2018 Incentive Programs • Focused, targeted measures with clear guidelines, rules and potential rewards • Program structure returned to Recognize & Reward Program format • Programs are open to participants, regardless of panel size, and measurement will be done at the physician level • Program requires active opt-in and self-reporting • Gives incentives to you for providing documented, measurable preventive care to your patients Confidential Property of Quality Care Providers, Inc.

  18. 2018 Incentive Programs Adult: • Breast Cancer Screening • Online reporting system is now live • Website: https://rewards.qcpi.org Pediatric: • Pediatric Developmental Screening • Online reporting system is now live • Website: https://rewards.qcpi.org Program ends: July 27, 2018 Confidential Property of Quality Care Providers, Inc.

  19. Communications Provider Outreach: • QCPI Monthly Newsletter • www.qcpi.org • QCPI network staff is available • Phone • Email • Onsite visit upon request Confidential Property of Quality Care Providers, Inc.

  20. Treasurer’s Report • Report given by Dr. Kinstler • Dr. Joel Goldstein, QCPI Treasurer, is out of town Confidential Property of Quality Care Providers, Inc.

  21. Questions • Please send questions to contact@qcpi.org • QCPI is always interested in knowing what physician members are thinking • If your questions have not been answered tonight, please call our office at 678-553-4600, send a fax to 678-553-4601 OR send an email to contact@qcpi.org Confidential Property of Quality Care Providers, Inc.

  22. Closing Remarks • Stipend for attending tonight’s meeting • 2018 Incentive Program questions? • Contact Rebecca Warthen, RN at rwarthen@qcpi.org or 678-553-4613 for assistance • Network issues? • Contact Cindy Toler at ctoler@qcpi.org or 678-553-4611 for assistance • Adjourn • THANK YOU Confidential Property of Quality Care Providers, Inc.

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