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Medicaid physician fees and the use of primary care services: evidence from before and after the ACA fee bump.
- Source :
-
International journal of health economics and management [Int J Health Econ Manag] 2023 Dec; Vol. 23 (4), pp. 609-642. Date of Electronic Publication: 2023 Jun 16. - Publication Year :
- 2023
-
Abstract
- We examine whether fees paid by Medicaid for primary care affects the use of health care services among adults with Medicaid coverage who have a high school or less than high school degree. The analysis spans the large changes in Medicaid fees that occurred before and after the ACA-mandated fee increase for primary care services in 2013-2014. We use data from the Behavioral Risk Factors Surveillance System and a difference-in-differences approach to estimate the association between Medicaid fees and whether a person has a personal doctor; a routine check-up or flu shot in the past year; whether a woman had a pap test or a mammogram in the past year; whether a person has ever been diagnosed with asthma, diabetes, cardiovascular diseases, cancer, COPD, arthritis, depression, or kidney diseases; and, whether a person reports good-to-excellent health. Estimates indicate that Medicaid fee increases were associated with small increases in the likelihood of having a personal doctor, or receiving a flu shot, although only having a personal doctor remained significant when accounting for multiple hypothesis testing. We conclude that Medicaid fees did not have a major impact on the use of primary care or on the consequences of that care.<br /> (© 2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Details
- Language :
- English
- ISSN :
- 2199-9031
- Volume :
- 23
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- International journal of health economics and management
- Publication Type :
- Academic Journal
- Accession number :
- 37326799
- Full Text :
- https://doi.org/10.1007/s10754-023-09358-9