1. Welcome to the Fourth National Pay for Performance Summit March 9 – 11, 2009 Donald Rebhun, MD Board Chair, Integrated Healthcare Association Regional Medical Director, HealthCare Partners

2. 2 Thank you! Platinum Grantor – Pfizer Silver Grantor – GlaxoSmithKline Bronze Grantors – Davis Wright Tremaine, Ingenix, Merck, and Quantum Clinical Navigation System Additional Sponsors – MedVentive, Media Partner, Health Affairs And all of our Exhibitors !

3. Thank you! P4P Committee Members and Chairpersons Steering Committee - Arnold Milstein, MD Executive Committee - Steve McDermott Payment Committee - Alain Einthoven, PhD Technical Quality - Alan Glaseroff, MD Technical Efficiency - David Hopkins, PhD

4. 4 California P4P Program: White Paper Creation of a single uniform measure set and public report card – a major step forward The power of aggregating multi-payer data is significant, increasing reliability and trust P4P created a collaborative environment for health plans and physician groups 10

5. 5 California P4P Program: White Paper P4P engaged physicians, but improvements are incremental without real breakthrough improvements yet Size of incentives are relatively small, about 1 to 2 % of base payments 10