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Hello everyone thank you for joining us today for our webcast entitled calling all Medicare Part B providers an introduction to the qpp Resource Center for the Midwest today's presenter is Lindsay ensley all terms qpp technology lead my name is Liz Jones and I am today's moderator before we begin I have a few housekeeping items to touch on we will be keeping everyone muted during today's presentation because there's a large number of attendees for today's webcast we will not be having a presence we will not be having a formal question-and-answer session if you have a question we will pryou with an email address at the end of this presentation where you may send any questions you have also you will be receiving a link to a recording of this webcast in a follow-up email from GoToWebinar tomorrow afternoon the information you will hear in this broadcast is current as of today and is only intended to be a general summary since Medicare policies change frequently the best way to stay up-to-date on current requirements is to review the actual written law or regulation we encourage participants to review the specific statutes regulations and other interpretive materials for a full and accurate statement of their contacts with that I will turn things over to Lindsay good afternoon and thank you for joining today's webcast it's an exciting day for the QP p resource center team for the Midwest as we prepare to launch our qpp resource center portal and invite you to be part of it as Liz said my name is Lindsay and I have spent the majority of my career working in the field of healthcare technology supporting the important work you do each day as you work with your patients today I'm going to keep our agenda simple instead instead of starting with the what we are and how you can participate I'm going to start with why the qpp Resource Center exists and why it matters to you then it will cover how you can participate and what the qpp Resource Center portal is sound good okay let's get started let's begin with our first why'd the health-care legislation journey now I could go all the way back to 1935 and talk about the various aspects of health care reform but I'm going to start in the last 10 years with 1997 the SGR or sustainable growth rate formula in short the SGR was a formula tied to gross domestic product or GDP where payments would be cut if physician spending grew more rapidly than the national GDP it also began to pave the way for away from unconstrained fee-for-service payments and towards new payment reforms focused on quality of service next let's jump to 2021 where we have the tax relief and healthcare act focused on cutting costs in really putting a new reporting structure into place called pqrs again the focus on the quality of service following that and.