Quality Care Providers - Annual Member Meeting Highlights

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.