The Medicaid Payment Provision Under Obamacare – Part 2 of 3
Trained callers posing as patients contacted primary-care offices in 10 states during two schedule periods: before and after the reimbursement increases kicked in. Callers indicated having coverage either through Medicaid or exclusive insurance and requested new-patient appointments. After the fee hike, Medicaid appointment availability rose significantly, the study found. In the states with the largest increases in Medicaid reimbursement, gains in appointment availability were particularly large, the researchers noted.
Across the 10 states examined in the study, Medicaid reimbursement for pure care rose by more than 50 percent, on average, boosting appointment availability by nearly 8 percentage points. “In the states that are what I would bid the high-bump states, rates went up by, on average, 13 percentage points, and in the low-bump rates, it only went up about 4 percentage points ,” said scrutinize author Daniel Polsky, executive director of the Leonard Davis Institute of Health Economics at the University of Pennsylvania. There was no such bump in appointment availability for the privately insured patient group, suggesting the proliferate in reimbursement was responsible for freeing up appointments – not other factors who is also a professor of medicine and health care management.
So “We feel pretty comfortable attributing what we found to the pay bump”. However, the authors said further studio would be needed to determine whether the costs and benefits of the payment policy warrant ongoing state and federal investment. Now that the pay hike has expired, researchers can only have a flutter about the impact on patient access. “I think our hypothesis for our next study would be that we might see a reversal of some of the increases in appointment availability”.