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. As the healthcare system continues to transform, we believe that primary care should lead - not follow. We are dedicated to the wellbeing of our patients through caring and collaborative patient partnerships. These relationships are the joy of medicine.
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 ACO Independent Practice Association, Inc was selected by CMS to participate in the Medicare Shared Savings Program, and is a Medicare ACO certified by NYS. The other IPA, Primary PartnerCare Alliance IPA, Inc, contracts with health plans through a relationship with Mount Sinai Health Partners. We also have a management services organization (MSO), Primary PartnerCare Management Group, Inc. which provides IT and management services to MSSP ACO and the IPA.
Can I belong to more than one IPA?
The answer to that question has changed over the years as the healthcare system has evolved. Primary care physicians can only belong to one Medicare Shared Savings Program ACO, and with the new health plan models of patient attribution and accountability for patient populations, the reality is that primary care physicians are forced to choose IPAs.
Are all the Doctors under one Tax ID Number?
Under the current model, 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 if they are requesting to participate in the Medicare Shared Savings Program ACO.
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, 30% of Medicare Shared Savings Program ACO participants' MIPS score is based on Promoting Interoperability. CMS aggregates all of the TINs and NPIs in the ACO, and creates one weighted average score for each NPI. This score becomes the Promoting Interoperability score for all the NPIs participating in the Medicare ACO.