NCMS SGR Survey

Question Title

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

Yes

No (Skip to question 9)

Question Title

* 2. Are you currently accepting any new patients?

Yes

No (Skip to question 9)

Question Title

* 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?

Accept all

Limit

Accept none

Question Title

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

	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

Other (please specify)

Question Title

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

Other (please specify)

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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.)

Medicare

Medicare HMOs or Advantage Plans

Medicare capitated

Question Title

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

Group practice, co-owner, or shareholder

Group practice employee

Partnership

Solo (Skip to end)

Teaching, administration, or research (Skip to end)

Other (please specify)

NCMS SGR Survey

Question Title

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

Question Title

* 2. Are you currently accepting any new patients?

Question Title

* 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?

Question Title

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

Question Title

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

Question Title

* 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.)

Question Title

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

Question Title

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

Question Title

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

Question Title

* 10. May we share your comments with the public?

	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