Factors Affecting Physician Participation in Medicaid

Factors Affecting Physician Participation in Medicaid PDF Author: Florida. Legislature. House of Representatives. Committee on Health and Rehabilitative Services
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 30

Get Book Here

Book Description

Factors Affecting Physician Participation in Medicaid

Factors Affecting Physician Participation in Medicaid PDF Author: Florida. Legislature. House of Representatives. Committee on Health and Rehabilitative Services
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 30

Get Book Here

Book Description


Factors Influencing Physician Participation in Medicaid

Factors Influencing Physician Participation in Medicaid PDF Author: Kara Beth Corches
Publisher:
ISBN:
Category :
Languages : en
Pages : 148

Get Book Here

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.

Physician Participation in Medicaid Managed Care

Physician Participation in Medicaid Managed Care PDF Author: Sunday E. Ubokudom
Publisher: Garland Science
ISBN: 9780815329053
Category : Medical
Languages : en
Pages : 199

Get Book Here

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

Health-Care Utilization as a Proxy in Disability Determination

Health-Care Utilization as a Proxy in Disability Determination PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 030946921X
Category : Medical
Languages : en
Pages : 161

Get Book Here

Book Description
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Who Cares for Poor People?

Who Cares for Poor People? PDF Author: Margaret M. Hynes
Publisher: Routledge
ISBN: 9780815330455
Category : Medical
Languages : en
Pages : 159

Get Book Here

Book Description
Analyzes data from the 1987 National Medical Expenditure Survey, which represent a national probability sample of those at risk for entering a nursing home; previous studies have been limited to data from specific populations. Explicating the relationship between financing policy for nursing home ca

Issues in Physician Reimbursement

Issues in Physician Reimbursement PDF Author: Nancy Thorndike Greenspan
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 220

Get Book Here

Book Description


Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy

Factors Affecting Physician Professional Satisfaction and Their Implications for Patient Care, Health Systems, and Health Policy PDF Author: Mark W. Friedberg
Publisher: Rand Corporation
ISBN: 0833082205
Category : Medical
Languages : en
Pages : 149

Get Book Here

Book Description
This report presents the results of a series of surveys and semistructured interviews intended to identify and characterize determinants of physician professional satisfaction.

Physician Supply and Distribution

Physician Supply and Distribution PDF Author: Barbara Bolling Manard
Publisher:
ISBN:
Category : Medical care
Languages : en
Pages : 256

Get Book Here

Book Description


Paperwork Requirements Affecting Physician Participation in Medicaid

Paperwork Requirements Affecting Physician Participation in Medicaid PDF Author: Saul Spigel
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages :

Get Book Here

Book Description
Identifies paperwork and other administrative requirements that may affect physicians' participation in the Medicaid program.

Patterns of Physician Participation in a Changing Health Care Market

Patterns of Physician Participation in a Changing Health Care Market PDF Author: Chantal Worzala
Publisher:
ISBN:
Category : Medicaid
Languages : en
Pages : 444

Get Book Here

Book Description