Unbiased Analysis of Today's Healthcare Issues

Can Medicaid beneficiaries access primary care providers?

In general the answer is yes, but often with some difficulty.  AJMC recaps the findings from a the CDC Morbidity and Mortality Weekly Report (MMWR) Quick Stats section from July 21, 2017. 88.9% of primary care physicians said they are accepting new patients, based on 2015 data from the National Electronic Health Records Survey. However, […]

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Effect of Physician Reimbursement Rates on Medicaid Take-up

Only about 50% to 60% of individuals eligible for Medicaid actually take-up the coverage.  Why is this case?  Many people claim that individuals only take up Medicaid insurance when they get sick.  Others claim that state outreach efforts have been subpar.  Youjin Hahn, however, offers another explanation rates: Medicaid insurance is just not that valuable. The […]

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Does expanding insurance coverage improve access to care?

Although Health Reform did little to reduce the cost of health care, it did make significant strides to expand access to care.  For low-income individuals, the increased access comes along two dimensions: expanded Medicaid eligibility and increased physician fees.  Specifically, Health Reform required to Make all individuals with incomes below 138% of the Federal Poverty […]

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Access to health insurance ≠ Access to health care.

Is the Massachusetts health reform a success?  Yes and no. In terms of increasing access to health care, it has been an unqualified success.  According to the Economist, only1.9% of Massachusetts residents were uninsured in 2010. Massachusetts’ health reform has not been able to offer universal access to health care or to constrain costs. ” One […]

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Medicare Payment Adequacy

How do policymakers  determine if Medicare payment levels are adequate?  The Medicare Payment Advisory Commission (MedPAC) uses the following criteria: Access to care determined by the number of providers and volume of services. Quality of care Provider access to capital Provider margins. Although these measures do provide valuable information, they are far from perfect.  Access […]

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Trends in Medi-Cal Reimbursement

Medicaid provides a safety net for the poorest Americans.  Although eligibility criteria vary from state to state, the health service Medicaid provides are often life saving.  One of the main problems Medicaid beneficiaries experience, however, is access to care.  Many physicians do not accept Medicaid because the reimbursement rates are much lower than those paid […]

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