Assessing the impact of rural provider services mix on the Primary Care Incentive Payment Program.
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.
Dan
D
Shane
A Clinton
AC
MacKinney
Fred
F
Ullrich
Keith J
KJ
Mueller
Paula
P
Weigel
D014487:Centers for Medicare and Medicaid Services, U.S.; D006801:Humans; D006278:Medicare / Q000191:economics* / Q000331:legislation & jurisprudence; D009720:Nurse Clinicians / Q000191:economics / Q000331:legislation & jurisprudence; D009722:Nurse Practitioners / Q000191:economics / Q000331:legislation & jurisprudence; D058991:Patient Protection and Affordable Care Act; D010823:Physician Assistants / Q000191:economics / Q000331:legislation & jurisprudence; D010820:Physicians / Q000191:economics / Q000331:legislation & jurisprudence; D011320:Primary Health Care / Q000191:economics* / Q000331:legislation & jurisprudence; D012052:Reimbursement, Incentive / Q000191:economics* / Q000331:legislation & jurisprudence; D019035:Rural Health Services / Q000191:economics*; D014481:United States