The story of the Medicaid fee bump is, first and foremost, a story of a policy to improve access to primary care for Medicaid recipients, by paying physicians more to see them. But it is also a story of how research can answer an important policy question, and how it can affect policy as it is being made. That's the story we tell here:
President Obama’s proposed budget, released today, included $6.29 billion to re-institute the “Medicaid fee bump” for primary care services through December 31, 2016. The proposal would increase pay rates to Medicare levels and expand eligibility to obstetricians, gynecologists, and non-physician practitioners, such as physician assistants and nurse practitioners.
Did the two-year Medicaid “fee bump,” fully financed by the federal government, succeed in its goal of improving primary care availability for growing numbers of Medicaid patients? Most states, facing the decision of whether to use state funds to continue to pay for Medicaid primary care services at Medicare levels, were unconvinced, and Medicaid fees returned to previous levels in 34 states as of January 1, 2015.
In Medical Care Research and Review, Brendan Saloner (Johns Hopkins University), and Penn colleagues Dan Polsky, Ari Friedman and Karin Rhodes, analyzes adult preventive care utilization and primary care appointment availability. The authors link individual-level, cross-sectional data on adult preventive care utilization from the 2011-2012 Behavioral Risk Factor Surveillance System to novel county-level measures of primary care appointment availability collected from an experimental audit study conducted in 10 states in 2012 to 2013 and other county-level health service and...
As the Affordable Care Act’s health insurance marketplaces begin their second year of open enrollment, LDI examines the current and potential impact of the ACA on the health of minority populations. This fifth post of a five-part series outlines the seldom-mentioned provisions for American Indians and Alaskan Natives.
As the Affordable Care Act’s health insurance marketplaces begin their second year of open enrollment, LDI examines the current and potential impact of the ACA on the health of minority populations. This third post of a five-part series examines how new models of care delivery encouraged by reform will affect minority populations.
In the New England Journal of Medicine, LDI Executive Director Dan Polsky and colleagues show that the increase in Medicaid reimbursement for primary care providers, a key provision of the Affordable Care Act (ACA), was associated with a 7.7 percentage point increase in new patient appointment availability without longer wait times. The results are from a new 10-state study and provide the first research-based evaluation of the association between the ACA’s two-year Medicaid fee bump — for which federal funding expired on December 31, 2014 — and appointment availability for...
As the Affordable Care Act’s health insurance marketplaces begin their second year of open enrollment, LDI examines the current and potential impact of the ACA on the health of minority populations. This second post of a five-part series describes the benefits and shortfalls of the Medicaid expansion.
A recent report from the Office of Inspector General (OIG) found significant ongoing challenges in access to care for enrollees in Medicaid managed care (MMC). Through “mystery shopper” calls to 1,800 primary care and specialty care providers on state provider lists, OIG found that only 49% of providers offered an appointment across 32 states. Primary care providers offered appointments at a lower rate (44%) than specialty care providers (57%).
We've gathered a collection of live tweets from our joint PennLDI-Wharton Public Policy Institute event held October 9. Three panels of researchers and policymakers shared results and insights about how the research could help improve implementation of health care reform.
Sit back, read more, and enjoy the story!