Health Law Blog - Healthcare Legal Issues

Primary Care Rate Increases in Proposed CMS Rule

Primary Care Would Benefit From Proposed Rate Increases

Centers for Medicare & Medicaid Services (CMS) has published a proposed rule that will have the net affect of increasing Medicaid payments for some services provided in a primary care setting. The propsed rule, which was published on May 11, 2012 would implement provisions of the Patient Protection and Affordable Care Act that requires that Medicaid reimbursement for certain primary care services be increased to Medicare levels instead lower Medicaid rates that have been established by the states.  The rate increases apply to primary care services provided by family medicine, general internal medicine, or pediatric medicine physicians.  The increased payment for these services will be funded by the Federal government.

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John H. Fisher

Health Care Counsel
Ruder Ware, L.L.S.C.
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