The Program introduces the concept of the Medical Panel to encourage broad-based practice participation across markets while helping to ensure that patient access needs are met and physician performance assessment is statistically valid. The Medical Panel structure will support collaborative learning and community accountability for quality and affordability. As outlined in the Program Description Medical Panels will also serve as the basis for establishing Savings Pools, which contribute to the amount a practice receives under the Incentive Program.
Medical Panels can be composed of an individual physician practice or a group of practices. A list of physician practices in your geographic area selected to participate in the Program is available:
List of Practices. The
Provider Request Form is used to submit your preference for which practice(s) you would like to include in your Medical Panel. Prior to the Measurement Period start date; BCBSGa will compile preference information and other details in order to assign Medical Panels for participating practices. Each Medical Panel must be comprised of practices that collectively reach a statistically significant Attributed Member population. Once the Medical Panel assignments are complete, this information will be available on the secure provider portal. You will have an opportunity to review and submit any additional preference information regarding your Medical Panel assignment at that time. If you are satisfied with your assigned Medical Panel, or you do not submit your preference to us within the timeline indicated on the BCBSGa provider portal, you will remain in your assigned Medical Panel for the duration of the Measurement Period. BCBSGa will make best efforts to consider all preferences submitted in a timely manner; however, we cannot guarantee that all preferences will be accommodated. BCBSGa reserves the right to make all final determinations on Medical Panel formation.
