Geographic Equity in Medicare Coalition
There are 27 members of the GEM Coalition, which include the following national specialty and state medical organizations: 1) American Society of General Surgeons, 2) Arkansas Medical Society, 3) Connecticut State Medical Society, 4) Idaho Medical Association, 5) Iowa Medical Society, 6) Kansas Medical Society, 7) Kentucky Medical Association, 8) Maine Medical Association, 9) Medical Association of the State of Alabama, 10) Minnesota Medical Association, 11) Mississippi State Medical Association, 12) Missouri State Medical Association, 13) Montana Medical Association, 14) Nebraska Medical Association, 15) New Hampshire Medical Society, 16) New Mexico Medical Society, 17) North Dakota Medical Association, 18) Ohio State Medical Association, 19) Oklahoma State Medical Association, 20) Oregon Medical Association, 21) South Dakota State Medical Association, 22) Tennessee Medical Association, 23) Utah Medical Association, 24) Vermont Medical Society, 25) Washington State Medical Association, 26) Wisconsin Medical Society, and 27) Wyoming Medical Society.
The Iowa Medical Society (IMS) has prepared several documents that may provide assistance in advocating for elimination of the geographic inequities in Medicare Part B reimbursement. Certain documents provide national data while others are specific to Iowa. If you have questions on these materials, please contact .
Medicare background - 2010
- CY 2010 GPCIs & GAF reflecting passage of HR 3590 and HR 4872 (PDF 17KB)>
- CY 2010 GPCIs & GAF with no congressional action in 2010 (PDF 16KB)>
- Practice Expense (PE) GPCI by State (includes Frontier States amendment) (PDF 415KB)
- 2010 Practice Expense (PE) GPCI by State (PDF 408KB)
- Proposed 2010 GPCIs/GAF (PDF 14KB)
- Proposed 2010 payment for CPT code 99213 (PDF 19KB)
- Proposed 2010 payment for CPT code 77057 (PDF 17KB)
- Proposed 2010 payment for CPT code 77057-TC (PDF 19KB)
Medicare background - 2009
- GEM Statement 2009 (PDF 118KB)
- Actual 2009 GPCIs/GAF (PDF 14KB)
- Proposed 2009 GPCIs/GAF prior to MIPPA (PDF 15KB)
Medicare background - 2008
- GEM Statement 2008 (PDF 199KB)
- Facts re: Medicare Physician Reimbursement (PDF 32KB)
- GPCIs/GAF for period January 1-June 30, 2008 (PDF 14KB)
- GPCIs/GAF for period July 1-December 31, 2008 without congressional intervention (PDF 14KB)
- Payment for CPT code 99213 for period January 1-June 30, 2008 (PDF 17KB)
- Payment for CPT code 99213 for period July 1-December 31, 2008 without congressional intervention (PDF 17KB)
- Health Affairs - Geography and the Debate over Medicare Reform (PDF 231KB)
Policy Briefs by Rural Policy Research Institute (RUPRI) for the RUPRI Center for Rural Health Policy Analysis
- Rural Policy Brief PB2003-2 PDF - Medicare Physician Payment, January 2003 (PDF 113KB)
- Rural Policy Brief PB2003-9 PDF - Medicare Physician Payment: Practice Expense, October 2003 (PDF 119KB)
- Rural Policy Brief PB2004-5 PDF - Rural Physicians' Acceptance of new Medicare Patients, August 2004 (PDF 32KB)