Open AccessJournal Article
Medicaid Fees and the Medicare Fee Schedule: An Update
TLDR
The results suggest that, on average, Medicaid fees have grown roughly 14 percent, but considerable variation continues to exist in how well Medicaid programs pay across types of services, States, and census divisions.Abstract:
This study analyzes changes in Medicaid physician fees from 1990 to 1993. Data were collected on maximum allowable Medicaid fees in 1993 and compared with similar 1990 Medicaid data as well as the fully phased-in Medicare Fee Schedule (MFS). The results suggest that, on average, Medicaid fees have grown roughly 14 percent, but considerable variation continues to exist in how well Medicaid programs pay across types of services, States, and census divisions. Medicaid fees remain considerably lower (27 percent for the average Medicaid enrollee) than fees under a fully phased-in MFS. Medicaid fees for primary-care services were, on average, 32 percent lower.read more
Citations
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Has Medicaid managed care affected beneficiary access and use
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National estimates of the effects of mandatory Medicaid managed care programs on health care access and use, 1997-1999.
Bowen Garrett,Stephen Zuckerman +1 more
TL;DR: The effects of Medicaid managed care vary with the type of program, and policy makers should not expect programs that rely on PCCMs to have the same effects as those that incorporate mandatory HMO enrollment.
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A Financial Cost—Benefit Analysis of a Health Promotion Program for Individuals With Mobility Impairments
TL;DR: The results suggested positive financial benefits of the Living Well with a Disability health promotion program and provide grounds for further research about third-party payer support of health promotion programs for individuals with physical disabilities.
Journal ArticleDOI
The effect of Medicaid physician fees on take-up of public health insurance among children in poverty
TL;DR: In this article, the authors investigate how changes in fees paid to Medicaid physicians affect take-up among children in low-income families, and they find that increasing Medicaid generosity is associated with both an increase in takeup and a reduction in uninsured rate.
References
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Journal ArticleDOI
Physician participation in state Medicaid programs.
TL;DR: In this paper, a model depicting the physician's participation decision is developed, and predictions from the comparative statics analysis are discussed, showing that high fee schedules and low administrative burdens are ways to stimulate physician involvement with Medicaid patients.
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Physician participation in Medicaid revisited.
TL;DR: Regression analysis showed that physicians remain sensitive to important policy variables, such as fee levels and eligibility criteria, and reinforce recent Congressional mandates to expand Medicaid eligibility and to raise payment levels for obstetric and pediatric services.
Journal ArticleDOI
Physicians' decisions to limit Medicaid participation: determinants and policy implications.
TL;DR: It is concluded that caution will be needed to ensure that health care cost-containment strategies such as capitation or selective contracting do not inadvertently discourage participation among both full and limited Medicaid participants.
Journal Article
The impact of Medicaid adoption of the Medicare fee schedule.
TL;DR: The authors simulate the effects on Federal and State Medicaid expenditures of increasing Medicaid fees to Medicare fee schedule (MFS) levels and find that Medicaid spending would increase significantly in some wealthy States with large Medicaid populations and in a few small, relatively poor States.