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Assessing the impact of rural provider services mix on the Primary Care Incentive Payment Program
Report

Assessing the impact of rural provider services mix on the Primary Care Incentive Payment Program

Dan Shane, A Clinton MacKinney, Fred Ullrich, Keith J Mueller and Paula Weigel
Rural policy brief, 2013-16, RUPRI Center for Rural Health Policy Analysis
12/2013
PMID: 25399465

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Abstract

Key Findings. (1) Based on analysis of 2009 Medicare claims data, more than 70% of rural primary care physicians (PCP) and non-physician practitioners (NPP) qualify for payments under the Primary Care Incentive Payment Program (PCIP) threshold (i.e., meet the > 60% of allowable Medicare charges). (2) The average incentive payment for qualifying rural PCPs would result in an additional $8,000 in Medicare patient revenue per year. For qualifying NPPs, the result is an additional $3,000 in Medicare patient revenue per year. (3) Only 9% of non-qualifying rural primary care providers were within 10 percentage points of the minimum threshold (60%) of Medicare allowed charges to qualify for PCIP payments.
United States Centers for Medicare and Medicaid Services (U.S.) Humans Medicare - economics Medicare - legislation & jurisprudence Nurse Clinicians - economics Nurse Clinicians - legislation & jurisprudence Nurse Practitioners - economics Nurse Practitioners - legislation & jurisprudence Patient Protection and Affordable Care Act Physician Assistants - economics Physician Assistants - legislation & jurisprudence Physicians - economics Physicians - legislation & jurisprudence Primary Health Care - economics Primary Health Care - legislation & jurisprudence Reimbursement, Incentive - economics Reimbursement, Incentive - legislation & jurisprudence Rural Health Services - economics

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