Factors Affecting Physician Participation in a State Medicaid Program

Garner, Dewey D.; Liao, Winston; Sharpe, Thomas R.

doi:10.1097/00005650-197901000-00004

Cited by 19 publications

(13 citation statements)

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“…6 survey data and found that factors which changed the relative reimbursement from the public program (either higher Medicaid fee schedules or lower reimbursement rates in the private market) were associated with increased participation in the government program. Subsequent studies have also found that non-participation was sensitive to the reimbursements and administrative burdens involved with Medicaid (Garner, Liao, and Sharpe, 1979;Mitchell, 1991), the size of the Medicaid eligible population in the geographic area (Mitchell, 1991), other community level characteristics such as per capita income and segregation (Perloff et al, 1997), and physician specific political believes (Sloan, Mitchell, and Cromwell, 1978).…”

Section: Previous Research On Physician Labor Supply and Medicaimentioning

confidence: 99%

The Doctor Might See You Now: The Supply Side Effects of Public Health Insurance Expansions

Garthwaite¹

2011

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In the United States, public health insurance programs cover over 90 million individuals. Changes in the scope of these programs, such as the Medicaid expansions under the recently passed Patient Protection and Affordable Care Act, may have large effects on physician behavior. This study finds that following the implementation of the State Children's Health Insurance Program, physicians decreased the number of hours spent with patients, but increased their participation in the expanded program. Suggestive evidence is found that this decrease in hours was a result of shorter office visits. These findings are consistent with the predictions from a mixed-economy model of physician behavior with public and private payers and also provide evidence of crowd out resulting from the creation of SCHIP.

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Section: Previous Research On Physician Labor Supply and Medicaimentioning

confidence: 99%

The Doctor Might See You Now: The Supply Side Effects of Public Health Insurance Expansions

Garthwaite¹

2011

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“…The [20][21][22] The blame for low participation in dentistry has also been placed on similar issues. 4,5,[7][8][9][10][11] Practitioner and practice characteristics…”

Section: Level Of Practitioner Participationmentioning

confidence: 99%

“…This finding is congruent with previous studies. 4,5,[7][8][9][10][11]14,20,22 With reimbursement rates of only about 55 to 65 percent of the customary fee, and coverage limited to severe "handicapping" malocclusions that would likely require more resources, it is not surprising that this may have an effect on the level of participation by orthodontists. Even so, low fee reimbursement and minimal opportunity for profiting financially did not appear to deter those who currently accept Medicaid from treating these patients.…”

Section: Level Of Practitioner Participationmentioning

confidence: 99%

The North Carolina Medicaid Program: Participation and perceptions among practicing orthodontists

Phillips

Lee

et al. 2007

American Journal of Orthodontics and Dentofacial Orthopedics

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“…Such areas have many drawbacks, apart from the low fees paid to treat Medicaid patients. Inner-city practice has little professional prestige, and patients are frequently seen as more difficult to treat because of language difficulties, missed appointments, an unwillingness to comply with treatment, and-if apparently misguidedly-a greater willingness to sue for malpractice (Garner et al 1979;Jones and Hamburger 1976;Perloff et al 1987b; Institute of Medicine 1989). Wages, crime, and insurance rates are also higher in these areas than elsewhere.…”

Section: Policy Consequencesmentioning

confidence: 99%

Medicaid and Access to Child Health Care in Chicago

Fossett¹,

Perloff²,

Kletke³

et al. 1992

Journal of Health Politics, Policy and Law

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In this article we examine how increasing the reimbursement of physicians and expanding Medicaid eligibility affect access to care for children in Cook County, Illinois, which overlies Chicago. Using Medicaid claims and other data at the zip-code level, we compare the places where Medicaid children live with the places where all the physicians who treat children and those who accept Medicaid patients have their practices. Our findings suggest that the recent changes in legislation are unlikely to benefit extremely poor children, who are more likely to live in depressed inner-city areas, where there are few physicians. "Near-poor" children whose homes are dispersed throughout the county, who are now eligible for Medicaid as a result of the recent changes, are likely to see improvements in their access to care. Further changes in policy, aimed at enhancing the capacity of institutions providing care, could improve access for the children of the inner city.

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Factors Affecting Physician Participation in a State Medicaid Program

Cited by 19 publications

References 0 publications

The Doctor Might See You Now: The Supply Side Effects of Public Health Insurance Expansions

The Doctor Might See You Now: The Supply Side Effects of Public Health Insurance Expansions

The North Carolina Medicaid Program: Participation and perceptions among practicing orthodontists

Medicaid and Access to Child Health Care in Chicago

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