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评估农村医疗服务提供者服务组合对初级保健激励支付计划的影响。

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

作者信息

Shane Dan, MacKinney A Clinton, Ullrich Fred, Mueller Keith J, Weigel Paula

出版信息

Rural Policy Brief. 2013 Dec 1(2013 16):1-6.

PMID:25399465
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.

摘要

主要发现

(1) 根据对2009年医疗保险索赔数据的分析,超过70%的农村初级保健医生(PCP)和非医生从业者(NPP)符合初级保健激励支付计划(PCIP)门槛下的支付条件(即达到允许的医疗保险费用的60%以上)。(2) 符合条件的农村初级保健医生的平均激励支付将导致每年医疗保险患者收入额外增加8000美元。对于符合条件的非医生从业者,结果是每年医疗保险患者收入额外增加3000美元。(3) 在不符合条件的农村初级保健提供者中,只有9%距离医疗保险允许费用的最低门槛(60%)在10个百分点以内,从而有资格获得PCIP支付。

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