Primary Care Docs May See Pay Raise

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  • May 11, 2012
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Primary care physicians could receive a pay raise bringing Medicaid primary care service fees in line with those paid by Medicare. The proposed boost would be in effect for calendar years 2013 and 2014. States would receive a total of more than $11 billion in new funds to bolster their Medicaid primary care delivery systems, U.S. Department of Health & Human Services (HHS) Secretary Kathleen Sebelius announced.

The proposed rule would implement the Affordable Care Act’s requirement that Medicaid reimburse family medicine, general internal medicine, pediatric medicine, and related subspecialists at Medicare levels in 2013 and 2014. The increase in payment for primary care is paid entirely by the federal government, with no matching payments required of states.
“The payment increase proposed today will be an important tool for States to ensure their primary care networks are prepared for increased enrollment as the health care law is implemented,” said Marilyn Tavenner, acting administrator for the Centers for Medicare & Medicaid Services (CMS). “Today’s action will help encourage primary care physicians to continue and expand their efforts to provide checkups, preventive screenings, vaccines, and other care to Medicaid beneficiaries.”

Certified Family Practice Coder CFPC

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