Primary Partner Care

FAQ

In this era of healthcare reform and change, private practitioners need the facts. We will start by providing straight answers to our most frequently asked questions.

Why Join Primary PartnerCare®?
You can maintain your autonomy as a physician while enjoying the benefits of a larger organization focused on primary care doctors and their patients. These benefits include: a “physician voice” with opportunities for lower expenses, additional patient services, and improved revenues.
What is the mission of Primary PartnerCare®?
The purpose is our mission: The mission of Primary PartnerCare® is to preserve and enhance the private practice of medicine through a primary care driven model that empowers physician-patient partnerships.
Can the MSO help me manage my practice?
The MSO will offer a menu of practice management services to its member physicians. Each physician will determine if they want to avail themselves of these practice management services or simply participate in each IPA for non practice management benefits.
How is Primary PartnerCare® structured?
We have two independent practice associations (IPAs). Primary PartnerCare Associates IPA, Inc was selected by CMS to participate in the Medicare Shared Savings Program, and is a Medicare ACO. The other IPA, Primary PartnerCare Alliance IPA, Inc, contracts with health plans. We also have a management services organization (MSO), Primary PartnerCare Management Group, Inc. which provides IT and management services to both IPAs.
Can I belong to more than one IPA?
Yes, we have no restrictions. However, primary care doctors can only belong to one Medicare Shared Savings Program ACO.
Are all the Doctors under one Tax ID Number?
No, each doctor keeps his/her own tax ID#.
Why are there 2 IPAs?
One IPA has been selected by CMS as a Medicare Shared Savings Program ACO. The other IPA contracts with health plans to provide similar value-based care.
Do I have to join both the Medicare ACO and the IPA?
No, the two IPAs are separate corporations. Membership in one is not contingent on membership in the other. We encourage physicians to join both to maximize value and simplify administration in their offices.
Do I have to use an EMR?
Yes, all of our members are required to implement an EMR. Exceptions are made for physicians near retirement.
Why are EMRs required?
Clinical Integration necessitates the sharing and reporting of clinical data for best practices. Commercial health plans are offering organized groups of physicians additional monies if they are able to report such data. Moreover, CMS has significant financial penalties in place for physicians who do not implement an EMR. These penalties are for all Medicare participating physicians in the country.