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Author: Janet B. Mitchell
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 0
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Author: Janet B. Mitchell
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 0
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Author: Sunday E. Ubokudom
Publisher: Garland Science
ISBN: 9780815329053
Category : Medical
Languages : en
Pages : 199
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Book Description
Health care policy and proposals for national health care reform have become some of the most contentious political issues of the decade. Garland Publishing announces a new series addressing the most significant issues in the area of health care policy and the business of health care in the United States. books in this multidisciplinary series will include studies of health care practice, the health care business, the implications of multicultural perspectives on health care for public policy, the impact of insurance on health care, and debates over national health care policy, including health care reform. This collection of timely works will offer significant scholarly perspectives on one of the most important issues in public policy.Vital information for policy makingThis book analyzes factors influencing physician participation in the Kansas Primary Care Network (PCN), a case management program for Medicaid beneficiaries. Studies of Medicaid managed care programs have examined the ability of these programs to control program expenditures, but there has been little research on physician participation. Since 1981, enrollees in the managed care programs of Medicaid have increased by 4,204 percent. A study that identifies the factors that enhance or impede physician participation in a Medicaid managed care plan is vital to health care policy making.What influences doctor participationThe study finds nine factors that influence physician participation in the PCN program -- receptivity to capitation-based reimbursement; county per capita income; relative fees; delayed payment; specialty referrals; practice organization; years in practice; the intermittent eligibility ofclients for Medicaid; and the perception that Medicaid clients are likely to be late for appointments. These findings reaffirm the two-market theory of the United States health care system. Because most providers treat patients with private health insurance coverage, which off
Author: Kara Beth Corches
Publisher:
ISBN:
Category :
Languages : en
Pages : 148
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Book Description
More individuals have health care coverage after the passage of the monumental federal health care reform law, the Patient Protection and Affordable Care Act (ACA). However, the promise of the ACA cannot be fulfilled if there are not enough physicians participating in Medicaid to sustain the huge beneficiary population. With a low provider to beneficiary ratio in Medicaid, individuals are forced to go without needed care or wait weeks, if not months, to be seen by a medical provider. Long waits to see a health care provider can have life or death implications, raising the urgency of this policy problem. This study analyzed the relationship between physician participation in Medicaid and a variety of environmental factors, such as reimbursement rates, practice characteristics and personal traits. My research sought to identify which factors are the most influential in a physician's decision to participate in the governmental health care program. I employed a series of ordered logistic regression and logistic regression models in my quantitative analysis. Data from the 2012 and 2013 National Ambulatory Medical Care Survey were used to evaluate the relationship between influencing factors and participation, as physicians prepared for the sharp increase in the Medicaid population due to the 2014 ACA implementation. The quantitative analysis demonstrated that reimbursement rates may not actually be the golden ticket to improving physician participation, while the ethnicity of a physician and region of practice are far more influential in a physician's decision to participate in Medicaid. A central finding from my study indicated the ethnicity of a physician is a critical factor impacting Medicaid participation; minority physicians are more likely to participate in Medicaid than non-minority physicians. Another important finding showed physicians who practice in rural locations are more likely to participate in Medicaid than those who practice in urban areas. My study has policy implications for lawmakers and Medicaid officials. It is vital that the federal and state governments increase physician participation to deliver on the promise of the ACA and subsequently improve the health and well-being of millions of Medicaid beneficiaries nationwide.
Author: Jessica Greene
Publisher:
ISBN:
Category :
Languages : en
Pages : 254
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Book Description
Author: Robin Cohen
Publisher:
ISBN:
Category : Managed care plans (Medical care)
Languages : en
Pages :
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Book Description
Discusses why doctors are reluctant to participate in the Medicaid program and what the state is doing to encourage them.
Author: Florida. Legislature. House of Representatives. Committee on Health and Rehabilitative Services
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 30
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Book Description
Author: Jack Hadley
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages :
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Author: Benson L. Dutton
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 0
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Author: Diane M. Dear
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 64
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Book Description
Author: Chantal Worzala
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 444
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Book Description
