Open AccessPayment Discrepancies and Access to Primary Care Physicians for Dual-eligible Medicare-Medicaid Beneficiaries
Author(s) -
Vicki Fung,
Stephen McCarthy,
Mary Price,
Peter Hull,
Benjamin Lê Cook,
John Hsu,
Joseph P. Newhouse
Publication year - 2021
Publication title -
medical care
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.632
H-Index - 178
eISSN - 1537-1948
pISSN - 0025-7079
DOI - 10.1097/mlr.0000000000001525
Subject(s) - medicaid , reimbursement , medicine , payment , family medicine , fee for service , patient protection and affordable care act , primary care , medicare part b , demography , health care , finance , business , sociology , economics , economic growth
Physicians often receive lower payments for dual-eligible Medicare-Medicaid beneficiaries versus nondual Medicare beneficiaries because of state reimbursement caps. The Affordable Care Act (ACA) primary care fee bump temporarily eliminated this differential in 2013-2014.