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November 2015

We’re changing effective date for value-based reimbursement for specialists in PGIP

The effective date for specialist eligibility for value-based reimbursement in the Physician Group Incentive Program, determined on an annual basis, is changing.

Beginning in 2016, PGIP value-based reimbursement (formerly termed “fee uplifts”) for specialists will start, continue or be discontinued on March 1 of each year, instead of Feb. 1. This reimbursement will continue through the end of February of the subsequent year.

Specialists who are receiving value-based reimbursement this year will continue to receive increased reimbursement through Feb. 29, 2016.

If you have any questions, contact your PGIP physician organization.

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