This study analyzes changes in Medicaid physician fees from 1990 to 1993. Data were collected on maximum allowable Medicaid fees in 1993 and compared with similar 1990 Medicaid data as well as the fully phased-in Medicare Fee Schedule (MFS). The results suggest that, on average, Medicaid fees have grown roughly 14 percent, but considerable variation continues to exist in how well Medicaid progr...

INTRODUCTION Medicaid is the largest primary health insurance for low-income populations in the United States, and it provides comprehensive benefits to cover treatment and services costs for chronic diseases, including diabetes. The standardized per capita spending on diabetes by Medicare beneficiaries enrolled in the fee-for-service program in Hawaii increased from 2012 to 2015. We examined t...

Abstract Background Insurance status plays a vital role in cancer diagnosis, treatments and survival. Cancer patients have higher cardiovascular disease (CVD) mortality than the general population. Methods The Surveillance, Epidemiology End Results (SEER) program 2007–2016 was used to estimate CVD among aged 18 64 years at time of diagnosis an initial malignancy with eight most prevalent cancer...

I investigate how changes in fees paid to Medicaid physicians affect take-up among children in low-income families. The existing literature suggests that the low level of Medicaid fee payments to physicians reduces their willingness to see Medicaid patients, thus creating an access-to-care problem for these patients. For the identical service, current Medicaid reimbursement rates are only about...

By several measures of health status, the Medicaid population is in worse health than are persons without Medicaid. In addition, poor persons without Medicaid coverage are in poorer health than those who are not poor. Use of health services among those in poor health shows Medicaid eligibles use services at a level comparable to those who are not poor and without Medicaid. Among the poor withou...

Medicaid paid for nearly half of the $183 billion spent nationally for long-term care in 2003 (GAO, 2005). The aging of the population will increase need for long-term care services, and consequently federal Medicaid expenditures in the near future. While anticipating that Medicaid spending for long-term care will increase because of demographic trends, policy makers also are concerned that som...

OBJECTIVE Sixteen million people will gain Medicaid under health reform. This study compares primary care physicians (PCPs) on reported acceptance of new Medicaid patients and practice characteristics. DATA AND METHODS Sample of 1,460 PCPs in outpatient settings was drawn from a 2008 nationally representative survey of physicians. PCPs were classified into four categories based on distribut...

Pediatric dental caries is the most common chronic disease among children. Above 40% of the U.S. children aged 2-11 years have dental caries; more than 50% of them come from low-income families. Under dental services of the Medicaid program, children enrolled in Medicaid must receive preventive dental services. However, only 1/5 of them utilize preventive dental services. The purpose of this ov...

The Supplemental Security Income (SSI) program for children and adolescents has experienced a fourfold enrollment growth since 1989. Most SSI recipients also receive Medicaid, and SSI growth could therefore lead to major new Medicaid expenditures if new SSI recipients were not previous Medicaid enrollees. Using Medicaid claims for 1989-92, we determined whether SSI expansions included many chil...

INTRODUCTION Limited provider participation in the Medicaid program is a barrier to access to orthodontic care for Medicaid-eligible patients. The goals of this study were to determine the participation level of North Carolina (NC) orthodontists in the Medicaid program, to examine NC orthodontists' perceptions of the Medicaid program and its beneficiaries, and to determine whether there are dif...