Assessing the Impact of Rural Provider Service Mix on the Primary Care Incentive Payment Program
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The Patient Protection and Affordable Care Act of 2010 created the Primary Care Incentive Payment Program. For the years 2011 through 2015, if certain evaluation and management services represent 60% or more of Medicare allowable charges, then the provider qualifies for a 10% bonus calculated on the primary care portion of allowable charges. 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. 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. Click here to read the full report by Shane, MacKinney, Ullrich, Mueller, and Weigel.
