Assessing the Impact of Rural Provider Service Mix on the Primary Care Incentive Payment Program
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. 
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