Aug 1, 2025

Changes to Advanced Primary Care Management from The Center for Medicare and Medicaid Services

We are asking for your help!

The requirements placed on us as a primary care practice have continued to become much more onerous and demanding.

Recently The Center for Medicare and Medicaid Services has given us the ability to charge your insurance company to help offset the expectations placed on us, including services that we provide which we currently don't get paid for. For example: providing referrals, doing prior authorizations for medications and imaging procedures, having a provider on call 24/7, changing over pharmacies based on contractual relationships with the insurance carriers or even recent closures such as Rite Aid, filling out paperwork for disabilities, and having a nurse triage system to call daily for questions to name a few.

We want to maintain our small intimate private practice instead of being acquired or amalgamated into a large group or institution. In supporting our ability to bill for advanced primary care management, you give us the ability to maintain our staffing levels and offer the personalized care we offer as a group.

At your next visit, our team will be asking for your consent to bill your insurance company for these services.  We are happy to answer any questions you may have these changes in Advanced Primary Care Management.  Thank you for your consideration and support!