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Economic Stimulus and Health IT
American Recovery and Reinvestment Act of 2009



                     Greenway HITECH Funding and Incentives Overview




                                    Health Information Technology for
                                Economic and Clinical Health (HITECH) Act
Over $30B in Direct Health IT Adoption and Infrastructure Incentives. $17.7B for Medicare and $12.4B for Medicaid, $300M
for Health Information Exchanges and $85M for Indian Health Services.

Medicare Incentives to Physicians. Incentives for eligible professionals under Medicare are increased to a maximum amount of
$44,000 between 2011-2015. 1% annual reductions begin in 2015.

Medicaid Incentives to Pediatricians as well as Underserved and Rural Communities. Eligible professionals with these
designations can receive incentive payments up to $63,750 between 2010-2015.
Health Professional Shortage Area Bonus. The conference agreement would provide a 10% increase in Medicare incentive
payments for eligible professionals practicing in areas designated as having shortages of health professionals.

Clinical Research Funding. $1.1 billion for comparative effectiveness research within the Agency for Healthcare Research and Quality
(AHRQ), National Institutes of Health (NIH), and the Department of Health and Human Services (HHS).

Regional Health Information Exchanges. $300 million in grants to support regional health information exchanges was retained
but moved to the corresponding funding sections in the Act.


                                                          Stimulus Physician Medicare Incentives: As of 3/18/2009
It’s an investment that will                             Pay Year
take the long overdue step         Meaningful
of computerizing America’s          Use Date
                                                           2011             2012              2013             2014             2015            2016           Totals
medical records, to reduce                                                                                                                                                        Certified EHR
                                      2011             $18,000.00        $12,000.00        $8,000.00        $4,000.00        $2,000.00          $    -       $44,000.00
the duplication and waste                                                                                                                                                           Incentive
that costs billions of health                                                                                                                                                     Certified EHR
                                      2012                               $18,000.00        $12,000.00       $8,000.00        $4,000.00        $2,000.00      $44,000.00
                                                                                                                                                                                    Incentive
care dollars and the medical
                                                                                                                                                                                  Certified EHR
errors that every year cost           2013                                                 $15,000.00       $12,000.00       $8,000.00        $4,000.00      $39,000.00
                                                                                                                                                                                    Incentive
thousands of lives.                                                                                                                                                               Certified EHR
                                      2014                                                                  $12,000.00       $8,000.00        $4,000.00      $24,000.00
                                                                                                                                                                                    Incentive
  – President Barack Obama            2015                                                                                      $    -          $    -           $    -
                                                                                                                                                                                  Certified EHR
                                                                                                                                                                                    Incentive
     American Recovery and
   Reinvestment Act Speech,
          February 17, 2009     * Medicaid Incentives up to $63,750 for Pediatricians (with 20-30% patient volume attributable to patients receiving assistance through Medicaid), Uninsured,
                                Rural, FQHC and Low-Income Providers/Eligible Professionals
                                ** 1% Annual Medicare Penalties/Reimbursement Reductions Start in 2015 for Providers not “Meaningfully Using” Certified EHRs
                                *** Eligible Providers Must Choose Either the Medicare or Medicaid Incentive but They Cannot “Double-Dip” with all “Pay Outs” being Paid after “Pay Year” is
                                Complete
About Greenway Medical Technologies
Greenway Medical Technologies is a leading provider of
an integrated, single-database electronic health record
(EHR), practice management and interoperability solution
and on-demand services for physician practices and
hospital community EHR strategies. More than 24,000
healthcare providers and professionals use Greenway’s
PrimeSuite® 2008, a CCHIT Certified® 08 Ambulatory
EHR that streamlines a practice’s clinical, financial and
administrative processes.



                                                                                   PrimeSuite won        Greenway solutions support the national health IT
                                                                                   three Best in         objectives of the United States Department of
                                                                                   KLAS* awards:
                                                                                                         Health and Human Services (HHS) Framework
                                                                           2008    • Amb EMR 2-5


Solutions                                                                          • Amb EMR 6-25        for Strategic Action: The Decade of Health Information
                                                                                   • PM 6-25             Technology. Here’s how:

PrimeSuite® is a fully integrated electronic health record (EHR),        PrimeSuite® 2008                Inform Clinical Practice
practice management, and interoperability solution that centralizes                                      • Incentivize EHR adoption
the clinical, financial and administrative functions of a medical                                        • Reduce risk of EHR investment
practice in a single database. It allows medical practices to improve                                    • Promote EHR diffusion in rural and
patient care, increase efficiency and maximize profitability.                                              underserved areas


PrimeExchange® is an interoperability engine that allows you to accurately exchange                      Interconnect Clinicians
healthcare information by integrating data from external systems, such as insurance, charges             • Foster regional collaborations
and lab reports, directly into your EHR. By allowing you to securely and efficiently share               • Develop a national health information network
data with other healthcare providers, PrimeExchange helps practices generate comprehensive               • Coordinate federal health information systems
patient records while reducing administrative costs.

PrimePatient® is a secure, self-service web portal that empowers patients by allowing them               Personalize Care
to interact with a practice online, performing routine tasks such as appointment and refill              • Encourage use of PHRs
requests, symptom assessment, and information updates. As a result, patient satisfaction is              • Enhance informed consumer choice
increased while productivity is maximized by reducing staff time spent on phone calls and                • Promote use of telehealth systems
data entry.

PrimeResearch™ provides centralized, up-to-date access to vital medical research. As this                Improve Population Health
solution evolves, it incorporates an ever-growing network of clinical trials and evidence-               • Unify public health surveillance architectures
based medical and pharmaceutical research, as well as clinical and financial benchmarking                • Streamline quality and health status monitoring
services. These tools benefit both patient and practice by fostering ongoing improvements in             • Accelerate research and dissemination of evidence
care quality and identifying opportunities for increasing revenue.


PrimeRCM™ is an advanced revenue cycle management (RCM) solution that helps practices achieve financial goals by streamlining
the collection, use and delivery of patient and claims information. PrimeRCM allows practices to capture and share quality
information from the first patient encounter to the final payment, resulting in improved profitability and productivity, as well as lower
administrative costs.

PrimeMobile™ provides anytime, anywhere access to tools and information essential to running a practice effectively. Using
smartphones and other handheld devices, your staff can remotely access information, such as physicians’ schedules, patient data or
round settings, and use productivity enhancing tools like charge capture, dictation, and electronic prescribing. The result is improved
patient care, reduced errors and increased productivity
                                                                                     *www.KLASresearch.com, Top 20 Best in KLAS Awards: Software & Professional Services




Greenway Medical Technologies                      P: 770.836.3100                                       www.greenwaymedical.com
121 Greenway Blvd., Carrollton, GA 30117           F: 770.836.3200                                       info@greenwaymedical.com

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Greenway Stimulus Overview Brochure

  • 1. Economic Stimulus and Health IT American Recovery and Reinvestment Act of 2009 Greenway HITECH Funding and Incentives Overview Health Information Technology for Economic and Clinical Health (HITECH) Act Over $30B in Direct Health IT Adoption and Infrastructure Incentives. $17.7B for Medicare and $12.4B for Medicaid, $300M for Health Information Exchanges and $85M for Indian Health Services. Medicare Incentives to Physicians. Incentives for eligible professionals under Medicare are increased to a maximum amount of $44,000 between 2011-2015. 1% annual reductions begin in 2015. Medicaid Incentives to Pediatricians as well as Underserved and Rural Communities. Eligible professionals with these designations can receive incentive payments up to $63,750 between 2010-2015. Health Professional Shortage Area Bonus. The conference agreement would provide a 10% increase in Medicare incentive payments for eligible professionals practicing in areas designated as having shortages of health professionals. Clinical Research Funding. $1.1 billion for comparative effectiveness research within the Agency for Healthcare Research and Quality (AHRQ), National Institutes of Health (NIH), and the Department of Health and Human Services (HHS). Regional Health Information Exchanges. $300 million in grants to support regional health information exchanges was retained but moved to the corresponding funding sections in the Act. Stimulus Physician Medicare Incentives: As of 3/18/2009 It’s an investment that will Pay Year take the long overdue step Meaningful of computerizing America’s Use Date 2011 2012 2013 2014 2015 2016 Totals medical records, to reduce Certified EHR 2011 $18,000.00 $12,000.00 $8,000.00 $4,000.00 $2,000.00 $ - $44,000.00 the duplication and waste Incentive that costs billions of health Certified EHR 2012 $18,000.00 $12,000.00 $8,000.00 $4,000.00 $2,000.00 $44,000.00 Incentive care dollars and the medical Certified EHR errors that every year cost 2013 $15,000.00 $12,000.00 $8,000.00 $4,000.00 $39,000.00 Incentive thousands of lives. Certified EHR 2014 $12,000.00 $8,000.00 $4,000.00 $24,000.00 Incentive – President Barack Obama 2015 $ - $ - $ - Certified EHR Incentive American Recovery and Reinvestment Act Speech, February 17, 2009 * Medicaid Incentives up to $63,750 for Pediatricians (with 20-30% patient volume attributable to patients receiving assistance through Medicaid), Uninsured, Rural, FQHC and Low-Income Providers/Eligible Professionals ** 1% Annual Medicare Penalties/Reimbursement Reductions Start in 2015 for Providers not “Meaningfully Using” Certified EHRs *** Eligible Providers Must Choose Either the Medicare or Medicaid Incentive but They Cannot “Double-Dip” with all “Pay Outs” being Paid after “Pay Year” is Complete
  • 2. About Greenway Medical Technologies Greenway Medical Technologies is a leading provider of an integrated, single-database electronic health record (EHR), practice management and interoperability solution and on-demand services for physician practices and hospital community EHR strategies. More than 24,000 healthcare providers and professionals use Greenway’s PrimeSuite® 2008, a CCHIT Certified® 08 Ambulatory EHR that streamlines a practice’s clinical, financial and administrative processes. PrimeSuite won Greenway solutions support the national health IT three Best in objectives of the United States Department of KLAS* awards: Health and Human Services (HHS) Framework 2008 • Amb EMR 2-5 Solutions • Amb EMR 6-25 for Strategic Action: The Decade of Health Information • PM 6-25 Technology. Here’s how: PrimeSuite® is a fully integrated electronic health record (EHR), PrimeSuite® 2008 Inform Clinical Practice practice management, and interoperability solution that centralizes • Incentivize EHR adoption the clinical, financial and administrative functions of a medical • Reduce risk of EHR investment practice in a single database. It allows medical practices to improve • Promote EHR diffusion in rural and patient care, increase efficiency and maximize profitability. underserved areas PrimeExchange® is an interoperability engine that allows you to accurately exchange Interconnect Clinicians healthcare information by integrating data from external systems, such as insurance, charges • Foster regional collaborations and lab reports, directly into your EHR. By allowing you to securely and efficiently share • Develop a national health information network data with other healthcare providers, PrimeExchange helps practices generate comprehensive • Coordinate federal health information systems patient records while reducing administrative costs. PrimePatient® is a secure, self-service web portal that empowers patients by allowing them Personalize Care to interact with a practice online, performing routine tasks such as appointment and refill • Encourage use of PHRs requests, symptom assessment, and information updates. As a result, patient satisfaction is • Enhance informed consumer choice increased while productivity is maximized by reducing staff time spent on phone calls and • Promote use of telehealth systems data entry. PrimeResearch™ provides centralized, up-to-date access to vital medical research. As this Improve Population Health solution evolves, it incorporates an ever-growing network of clinical trials and evidence- • Unify public health surveillance architectures based medical and pharmaceutical research, as well as clinical and financial benchmarking • Streamline quality and health status monitoring services. These tools benefit both patient and practice by fostering ongoing improvements in • Accelerate research and dissemination of evidence care quality and identifying opportunities for increasing revenue. PrimeRCM™ is an advanced revenue cycle management (RCM) solution that helps practices achieve financial goals by streamlining the collection, use and delivery of patient and claims information. PrimeRCM allows practices to capture and share quality information from the first patient encounter to the final payment, resulting in improved profitability and productivity, as well as lower administrative costs. PrimeMobile™ provides anytime, anywhere access to tools and information essential to running a practice effectively. Using smartphones and other handheld devices, your staff can remotely access information, such as physicians’ schedules, patient data or round settings, and use productivity enhancing tools like charge capture, dictation, and electronic prescribing. The result is improved patient care, reduced errors and increased productivity *www.KLASresearch.com, Top 20 Best in KLAS Awards: Software & Professional Services Greenway Medical Technologies P: 770.836.3100 www.greenwaymedical.com 121 Greenway Blvd., Carrollton, GA 30117 F: 770.836.3200 info@greenwaymedical.com