It’s an investment that will take the long overdue step of computerizing America’s medical records, to reduce the duplication and waste that costs billions of health care dollars and the medical errors that every year cost thousands of lives.

– President Barack ObamaAmerican Recovery and

Reinvestment Act Speech, February 17, 2009

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.

Greenway HITECH Funding and Incentives Overview

Health Information Technology forEconomic and Clinical Health (HITECH) Act

Stimulus Physician Medicare Incentives: As of 3/18/2009

Pay Year

MeaningfulUse Date 2011 2012 2013 2014 2015 2016 Totals

2011 $18,000.00 $12,000.00 $8,000.00 $4,000.00 $2,000.00 $ - $44,000.00Certified EHR

Incentive

2012 $18,000.00 $12,000.00 $8,000.00 $4,000.00 $2,000.00 $44,000.00Certified EHR

Incentive

2013 $15,000.00 $12,000.00 $8,000.00 $4,000.00 $39,000.00Certified EHR

Incentive

2014 $12,000.00 $8,000.00 $4,000.00 $24,000.00Certified EHR

Incentive

2015 $ - $ - $ -Certified EHR

Incentive

* 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

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

Greenway Medical Technologies P: 770.836.3100 www.greenwaymedical.com121 Greenway Blvd., Carrollton, GA 30117 F: 770.836.3200 info@greenwaymedical.com

About Greenway Medical TechnologiesGreenway 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® 2008

2008

PrimeSuite won three Best in KLAS* awards:

• Amb EMR 2-5• Amb EMR 6-25• PM 6-25

*www.KLASresearch.com, Top 20 Best in KLAS Awards: Software & Professional Services

SolutionsPrimeSuite® is a fully integrated electronic health record (EHR), practice management, and interoperability solution that centralizes the clinical, financial and administrative functions of a medical practice in a single database. It allows medical practices to improve patient care, increase efficiency and maximize profitability.

PrimeExchange® is an interoperability engine that allows you to accurately exchange healthcare information by integrating data from external systems, such as insurance, charges and lab reports, directly into your EHR. By allowing you to securely and efficiently share data with other healthcare providers, PrimeExchange helps practices generate comprehensive patient records while reducing administrative costs.

PrimePatient® is a secure, self-service web portal that empowers patients by allowing them to interact with a practice online, performing routine tasks such as appointment and refill requests, symptom assessment, and information updates. As a result, patient satisfaction is increased while productivity is maximized by reducing staff time spent on phone calls and data entry.

PrimeResearch™ provides centralized, up-to-date access to vital medical research. As this solution evolves, it incorporates an ever-growing network of clinical trials and evidence-based medical and pharmaceutical research, as well as clinical and financial benchmarking services. These tools benefit both patient and practice by fostering ongoing improvements in 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

Greenway solutions support the national health IT objectives of the United States Department of Health and Human Services (HHS) Framework for Strategic Action: The Decade of Health Information Technology. Here’s how:

Inform Clinical Practice• Incentivize EHR adoption• Reduce risk of EHR investment• Promote EHR diffusion in rural and

underserved areas

Interconnect Clinicians• Foster regional collaborations• Develop a national health information network• Coordinate federal health information systems

Personalize Care• Encourage use of PHRs• Enhance informed consumer choice• Promote use of telehealth systems

Improve Population Health• Unify public health surveillance architectures• Streamline quality and health status monitoring• Accelerate research and dissemination of evidence