Declining Medicaid Fees and Primary Care Appointment Availability for New Medicaid Patients,JAMA Internal Medicine

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Declining Medicaid Fees and Primary Care Appointment Availability for New Medicaid Patients
JAMA Internal Medicine ( IF 22.5 ) Pub Date : 2018-01-01 , DOI: 10.1001/jamainternmed.2017.6302
Molly Candon ₁ , Stephen Zuckerman ₂ , Douglas Wissoker ₂ , Brendan Saloner ₃ , Genevieve M. Kenney ₂ , Karin Rhodes _{1,

4} , Daniel Polsky _{1,

5}

Affiliation

Appointment Availability for New Medicaid Patients Under the Affordable Care Act (ACA), Medicaid fees for primary care physicians were raised to Medicare levels in 2013 and 2014. The size of the federally funded increase varied widely, as Medicaid fees were close to Medicare levels in some states and Medicaid paid less than half for the same services in other states.1 A previous study found that higher Medicaid fees in 2014 were associated with increased primary care appointment availability for new Medicaid patients.2 Now that most states have returned to lower fee levels, it is time to examine whether declining Medicaid fees are associated with decreased primary care appointment availability for new Medicaid patients.

中文翻译：

新医疗补助患者的医疗补助费用和初级保健预约可用性下降

新医疗补助患者的预约可用性根据平价医疗法案 (ACA)，初级保健医生的医疗补助费用在 2013 年和 2014 年提高到医疗保险水平。联邦政府资助的增加规模差异很大，因为医疗补助费用接近医疗保险水平一些州和 Medicaid 为其他州的相同服务支付的费用不到一半。1 之前的一项研究发现，2014 年较高的 Medicaid 费用与新 Medicaid 患者的初级保健预约可用性增加有关。2 现在大多数州已经恢复到较低的费用水平，现在是时候检查医疗补助费用下降是否与新医疗补助患者的初级保健预约可用性下降有关。

更新日期：2018-01-01

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