2011 SGR Survey

We need your help. As a result of ongoing problems with the Medicare fee schedule, physicians report taking, planning, or considering different actions. We need a better understanding of how the proposed 29.5 percent cut will impact Wyoming physicians and patients. As always, individual responses are confidential and only aggregate results will be reported.

(Survey designed and provided by the Texas Medical Association)

	Have Done	Will Do	Considering	Will Not Do	Not Applicable
Place new or additional limits on Medicare acceptance	Place new or additional limits on Medicare acceptance Have Done	Place new or additional limits on Medicare acceptance Will Do	Place new or additional limits on Medicare acceptance Considering	Place new or additional limits on Medicare acceptance Will Not Do	Place new or additional limits on Medicare acceptance Not Applicable
Accept no new Medicare patients	Accept no new Medicare patients Have Done	Accept no new Medicare patients Will Do	Accept no new Medicare patients Considering	Accept no new Medicare patients Will Not Do	Accept no new Medicare patients Not Applicable
Terminate existing Medicare patients	Terminate existing Medicare patients Have Done	Terminate existing Medicare patients Will Do	Terminate existing Medicare patients Considering	Terminate existing Medicare patients Will Not Do	Terminate existing Medicare patients Not Applicable
Change status to Medicare nonparticipating	Change status to Medicare nonparticipating Have Done	Change status to Medicare nonparticipating Will Do	Change status to Medicare nonparticipating Considering	Change status to Medicare nonparticipating Will Not Do	Change status to Medicare nonparticipating Not Applicable
Formally opt out of Medicare and require direct payment	Formally opt out of Medicare and require direct payment Have Done	Formally opt out of Medicare and require direct payment Will Do	Formally opt out of Medicare and require direct payment Considering	Formally opt out of Medicare and require direct payment Will Not Do	Formally opt out of Medicare and require direct payment Not Applicable
Place new or additional limits on Medicaid acceptance	Place new or additional limits on Medicaid acceptance Have Done	Place new or additional limits on Medicaid acceptance Will Do	Place new or additional limits on Medicaid acceptance Considering	Place new or additional limits on Medicaid acceptance Will Not Do	Place new or additional limits on Medicaid acceptance Not Applicable
Reduce the amount of charity care that I deliver	Reduce the amount of charity care that I deliver Have Done	Reduce the amount of charity care that I deliver Will Do	Reduce the amount of charity care that I deliver Considering	Reduce the amount of charity care that I deliver Will Not Do	Reduce the amount of charity care that I deliver Not Applicable
Increase standard fees charged to other patients	Increase standard fees charged to other patients Have Done	Increase standard fees charged to other patients Will Do	Increase standard fees charged to other patients Considering	Increase standard fees charged to other patients Will Not Do	Increase standard fees charged to other patients Not Applicable
Delay information technology implementation	Delay information technology implementation Have Done	Delay information technology implementation Will Do	Delay information technology implementation Considering	Delay information technology implementation Will Not Do	Delay information technology implementation Not Applicable
Renegotiate or terminate some health plan contracts	Renegotiate or terminate some health plan contracts Have Done	Renegotiate or terminate some health plan contracts Will Do	Renegotiate or terminate some health plan contracts Considering	Renegotiate or terminate some health plan contracts Will Not Do	Renegotiate or terminate some health plan contracts Not Applicable
Close or sell my practice	Close or sell my practice Have Done	Close or sell my practice Will Do	Close or sell my practice Considering	Close or sell my practice Will Not Do	Close or sell my practice Not Applicable
Look for an employed position	Look for an employed position Have Done	Look for an employed position Will Do	Look for an employed position Considering	Look for an employed position Will Not Do	Look for an employed position Not Applicable
Seek a nonclinical position	Seek a nonclinical position Have Done	Seek a nonclinical position Will Do	Seek a nonclinical position Considering	Seek a nonclinical position Will Not Do	Seek a nonclinical position Not Applicable
Retire	Retire Have Done	Retire Will Do	Retire Considering	Retire Will Not Do	Retire Not Applicable

Have Done

Will Do

Considering

Will Not Do

Not Applicable

Place new or additional limits on Medicare acceptance

Place new or additional limits on Medicare acceptance Have Done

Place new or additional limits on Medicare acceptance Will Do

Place new or additional limits on Medicare acceptance Considering

Place new or additional limits on Medicare acceptance Will Not Do

Place new or additional limits on Medicare acceptance Not Applicable

Accept no new Medicare patients

Accept no new Medicare patients Have Done

Accept no new Medicare patients Will Do

Accept no new Medicare patients Considering

Accept no new Medicare patients Will Not Do

Accept no new Medicare patients Not Applicable

Terminate existing Medicare patients

Terminate existing Medicare patients Have Done

Terminate existing Medicare patients Will Do

Terminate existing Medicare patients Considering

Terminate existing Medicare patients Will Not Do

Terminate existing Medicare patients Not Applicable

Change status to Medicare nonparticipating

Change status to Medicare nonparticipating Have Done

Change status to Medicare nonparticipating Will Do

Change status to Medicare nonparticipating Considering

Change status to Medicare nonparticipating Will Not Do

Change status to Medicare nonparticipating Not Applicable

Formally opt out of Medicare and require direct payment

Formally opt out of Medicare and require direct payment Have Done

Formally opt out of Medicare and require direct payment Will Do

Formally opt out of Medicare and require direct payment Considering

Formally opt out of Medicare and require direct payment Will Not Do

Formally opt out of Medicare and require direct payment Not Applicable

Place new or additional limits on Medicaid acceptance

Place new or additional limits on Medicaid acceptance Have Done

Place new or additional limits on Medicaid acceptance Will Do

Place new or additional limits on Medicaid acceptance Considering

Place new or additional limits on Medicaid acceptance Will Not Do

Place new or additional limits on Medicaid acceptance Not Applicable

Reduce the amount of charity care that I deliver

Reduce the amount of charity care that I deliver Have Done

Reduce the amount of charity care that I deliver Will Do

Reduce the amount of charity care that I deliver Considering

Reduce the amount of charity care that I deliver Will Not Do

Reduce the amount of charity care that I deliver Not Applicable

Increase standard fees charged to other patients

Increase standard fees charged to other patients Have Done

Increase standard fees charged to other patients Will Do

Increase standard fees charged to other patients Considering

Increase standard fees charged to other patients Will Not Do

Increase standard fees charged to other patients Not Applicable

Delay information technology implementation

Delay information technology implementation Have Done

Delay information technology implementation Will Do

Delay information technology implementation Considering

Delay information technology implementation Will Not Do

Delay information technology implementation Not Applicable

Renegotiate or terminate some health plan contracts

Renegotiate or terminate some health plan contracts Have Done

Renegotiate or terminate some health plan contracts Will Do

Renegotiate or terminate some health plan contracts Considering

Renegotiate or terminate some health plan contracts Will Not Do

Renegotiate or terminate some health plan contracts Not Applicable

Close or sell my practice

Close or sell my practice Have Done

Close or sell my practice Will Do

Close or sell my practice Considering

Close or sell my practice Will Not Do

Close or sell my practice Not Applicable

Look for an employed position

Look for an employed position Have Done

Look for an employed position Will Do

Look for an employed position Considering

Look for an employed position Will Not Do

Look for an employed position Not Applicable

Seek a nonclinical position

Seek a nonclinical position Have Done

Seek a nonclinical position Will Do

Seek a nonclinical position Considering

Seek a nonclinical position Will Not Do

Seek a nonclinical position Not Applicable

Retire

Retire Have Done

Retire Will Do

Retire Considering

Retire Will Not Do

Retire Not Applicable

	Will Do	Will Consider	Will Not Do	Not Applicable
Place new or additional limits on Medicare acceptance	Place new or additional limits on Medicare acceptance Will Do	Place new or additional limits on Medicare acceptance Will Consider	Place new or additional limits on Medicare acceptance Will Not Do	Place new or additional limits on Medicare acceptance Not Applicable
Accept no new Medicare patients	Accept no new Medicare patients Will Do	Accept no new Medicare patients Will Consider	Accept no new Medicare patients Will Not Do	Accept no new Medicare patients Not Applicable
Terminate existing Medicare patients	Terminate existing Medicare patients Will Do	Terminate existing Medicare patients Will Consider	Terminate existing Medicare patients Will Not Do	Terminate existing Medicare patients Not Applicable
Change status to Medicare nonparticipating	Change status to Medicare nonparticipating Will Do	Change status to Medicare nonparticipating Will Consider	Change status to Medicare nonparticipating Will Not Do	Change status to Medicare nonparticipating Not Applicable
Formally opt out of Medicare and require direct payment	Formally opt out of Medicare and require direct payment Will Do	Formally opt out of Medicare and require direct payment Will Consider	Formally opt out of Medicare and require direct payment Will Not Do	Formally opt out of Medicare and require direct payment Not Applicable
Place new or additional limits on Medicaid acceptance	Place new or additional limits on Medicaid acceptance Will Do	Place new or additional limits on Medicaid acceptance Will Consider	Place new or additional limits on Medicaid acceptance Will Not Do	Place new or additional limits on Medicaid acceptance Not Applicable
Reduce the amount of charity care that I deliver	Reduce the amount of charity care that I deliver Will Do	Reduce the amount of charity care that I deliver Will Consider	Reduce the amount of charity care that I deliver Will Not Do	Reduce the amount of charity care that I deliver Not Applicable
Increase standard fees charged to other patients	Increase standard fees charged to other patients Will Do	Increase standard fees charged to other patients Will Consider	Increase standard fees charged to other patients Will Not Do	Increase standard fees charged to other patients Not Applicable
Delay information technology implementation	Delay information technology implementation Will Do	Delay information technology implementation Will Consider	Delay information technology implementation Will Not Do	Delay information technology implementation Not Applicable
Renegotiate or terminate some health plan contracts	Renegotiate or terminate some health plan contracts Will Do	Renegotiate or terminate some health plan contracts Will Consider	Renegotiate or terminate some health plan contracts Will Not Do	Renegotiate or terminate some health plan contracts Not Applicable
Close or sell my practice	Close or sell my practice Will Do	Close or sell my practice Will Consider	Close or sell my practice Will Not Do	Close or sell my practice Not Applicable
Look for an employed position	Look for an employed position Will Do	Look for an employed position Will Consider	Look for an employed position Will Not Do	Look for an employed position Not Applicable
Seek a nonclinical position	Seek a nonclinical position Will Do	Seek a nonclinical position Will Consider	Seek a nonclinical position Will Not Do	Seek a nonclinical position Not Applicable
Retire	Retire Will Do	Retire Will Consider	Retire Will Not Do	Retire Not Applicable

Will Do

Will Consider

Will Not Do

Not Applicable

Place new or additional limits on Medicare acceptance

Place new or additional limits on Medicare acceptance Will Do

Place new or additional limits on Medicare acceptance Will Consider

Place new or additional limits on Medicare acceptance Will Not Do

Place new or additional limits on Medicare acceptance Not Applicable

Accept no new Medicare patients

Accept no new Medicare patients Will Do

Accept no new Medicare patients Will Consider

Accept no new Medicare patients Will Not Do

Accept no new Medicare patients Not Applicable

Terminate existing Medicare patients

Terminate existing Medicare patients Will Do

Terminate existing Medicare patients Will Consider

Terminate existing Medicare patients Will Not Do

Terminate existing Medicare patients Not Applicable

Change status to Medicare nonparticipating

Change status to Medicare nonparticipating Will Do

Change status to Medicare nonparticipating Will Consider

Change status to Medicare nonparticipating Will Not Do

Change status to Medicare nonparticipating Not Applicable

Formally opt out of Medicare and require direct payment

Formally opt out of Medicare and require direct payment Will Do

Formally opt out of Medicare and require direct payment Will Consider

Formally opt out of Medicare and require direct payment Will Not Do

Formally opt out of Medicare and require direct payment Not Applicable

Place new or additional limits on Medicaid acceptance

Place new or additional limits on Medicaid acceptance Will Do

Place new or additional limits on Medicaid acceptance Will Consider

Place new or additional limits on Medicaid acceptance Will Not Do

Place new or additional limits on Medicaid acceptance Not Applicable

Reduce the amount of charity care that I deliver

Reduce the amount of charity care that I deliver Will Do

Reduce the amount of charity care that I deliver Will Consider

Reduce the amount of charity care that I deliver Will Not Do

Reduce the amount of charity care that I deliver Not Applicable

Increase standard fees charged to other patients

Increase standard fees charged to other patients Will Do

Increase standard fees charged to other patients Will Consider

Increase standard fees charged to other patients Will Not Do

Increase standard fees charged to other patients Not Applicable

Delay information technology implementation

Delay information technology implementation Will Do

Delay information technology implementation Will Consider

Delay information technology implementation Will Not Do

Delay information technology implementation Not Applicable

Renegotiate or terminate some health plan contracts

Renegotiate or terminate some health plan contracts Will Do

Renegotiate or terminate some health plan contracts Will Consider

Renegotiate or terminate some health plan contracts Will Not Do

Renegotiate or terminate some health plan contracts Not Applicable

Close or sell my practice

Close or sell my practice Will Do

Close or sell my practice Will Consider

Close or sell my practice Will Not Do

Close or sell my practice Not Applicable

Look for an employed position

Look for an employed position Will Do

Look for an employed position Will Consider

Look for an employed position Will Not Do

Look for an employed position Not Applicable

Seek a nonclinical position

Seek a nonclinical position Will Do

Seek a nonclinical position Will Consider

Seek a nonclinical position Will Not Do

Seek a nonclinical position Not Applicable

Retire

Retire Will Do

Retire Will Consider

Retire Will Not Do

Retire Not Applicable

2011 SGR Survey

WMS 2011 SGR Survey

Question Title

* 1. Do you currently treat patients in an active medical practice?

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* 2. Are you currently accepting new patients?

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* 3. For patients covered by Medicare, does your practice currently (1) accept all new patients, (2) limit new patients that you will accept, or (3) accept no new patients?

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* 4. As a result of the proposed 29.5 percent cut in Medicare fee schedules, what actions are you taking, planning, or considering?

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* 5. If Congress tries to compromise by offering a 10-percent cut in Medicare fee schedules, which actions would you take or consider?

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* 6. Approximately what percentage of your practice revenues are derived from each of the following payers? (Note: Responses may not add up to 100 percent. If you cannot estimate, you may leave this question blank, but please complete the survey.)

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* 7. Which of the following best describes your primary form of medical practice?

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* 8. How many physicians are in your group or partnership? (Please report a number. If you are unsure, you may leave it blank.)

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* 9. Please add any comments you may have regarding Medicare fee cuts: