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Private payers may reimburse PCPs for coordinating care of seniors with chronic illnesses outside office visits

Last month's CRD featured benchmarks for allocating time for routine visits with older patients in primary care practice (see the January CRD, p. 8). PCPs also spend significant time outside office visits caring for older adults with chronic illnesses. Although these patients represent the majority of Medicare beneficiaries, much of their out-of-office care is not reimbursed under Medicare guidelines. However, practices that accept capitated reimbursement and other managed care contracts may have opportunities to seek payment for telephone medicine and other types of nonclinical activities.