The Enhanced Personal Health Care Program empowers primary care physicians (PCPs) to engage in those comprehensive primary care functions that move us toward a coordinated, evidence-based care model that has the greatest impact on achieving the triple aim of improved quality, patient experience and affordability.
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 who have been invited to participate in the Program is available: List of Practices
. Prior to the Measurement Period start date; BCBSGa will assign Medical Panels for contracted 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 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.