PMID- 24628495
OWN - NLM
STAT- MEDLINE
DCOM- 20140922
LR  - 20211021
IS  - 1475-6773 (Electronic)
IS  - 0017-9124 (Print)
IS  - 0017-9124 (Linking)
VI  - 49
IP  - 4
DP  - 2014 Aug
TI  - Medicaid primary care physician fees and the use of preventive services among 
      Medicaid enrollees.
PG  - 1306-28
LID - 10.1111/1475-6773.12169 [doi]
AB  - OBJECTIVE: The Patient Protection and Affordable Care Act (ACA) increases 
      Medicaid physician fees for preventive care up to Medicare rates for 2013 and 
      2014. The purpose of this paper was to model the relationship between Medicaid 
      preventive care payment rates and the use of U.S. Preventive Services Task Force 
      (USPSTF)-recommended preventive care use among Medicaid enrollees. DATA 
      SOURCES/STUDY SESSION: We used data from the 2003 and 2008 Medical Expenditure 
      Panel Survey (MEPS), a national probability sample of the U.S. civilian, 
      noninstitutionalized population, linked to Kaiser state Medicaid benefits data, 
      including the state Medicaid-to-Medicare physician fee ratio in 2003 and 2008. 
      STUDY DESIGN: Probit models were used to estimate the probability that eligible 
      individuals received one of five USPSF-recommended preventive services. A 
      difference-in-difference model was used to separate out the effect of changes in 
      the Medicaid payment rate and other factors. DATA COLLECTION/EXTRACTION METHODS: 
      Data were linked using state identifiers. PRINCIPAL FINDINGS: Although Medicaid 
      enrollees had a lower rate of use of the five preventive services in univariate 
      analysis, neither Medicaid enrollment nor changes in Medicaid payment rates had 
      statistically significant effects on meeting screening recommendations for the 
      five screenings. The results were robust to a number of different sensitivity 
      tests. Individual and state characteristics were significant. CONCLUSIONS: Our 
      results suggest that although temporary changes in primary care provider payments 
      for preventive services for Medicaid enrollees may have other desirable effects, 
      they are unlikely to substantially increase the use of these selected 
      USPSTF-recommended preventive care services among Medicaid enrollees.
CI  - (c) Health Research and Educational Trust.
FAU - Atherly, Adam
AU  - Atherly A
AD  - Department of Health Systems, Management and Policy, Colorado School of Public 
      Health, Aurora, CO.
FAU - Mortensen, Karoline
AU  - Mortensen K
LA  - eng
GR  - R21 HD071550/HD/NICHD NIH HHS/United States
GR  - R24 HD041041/HD/NICHD NIH HHS/United States
GR  - 1R21HD071550/HD/NICHD NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
DEP - 20140313
PL  - United States
TA  - Health Serv Res
JT  - Health services research
JID - 0053006
SB  - IM
MH  - Adult
MH  - Aged
MH  - Fees and Charges/*legislation & jurisprudence
MH  - Female
MH  - Health Care Surveys
MH  - Health Services Needs and Demand/economics/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Medicaid/*economics
MH  - Middle Aged
MH  - Patient Protection and Affordable Care Act
MH  - Physicians, Primary Care/*economics
MH  - Primary Prevention/*economics/standards/statistics & numerical data
MH  - United States
MH  - Young Adult
PMC - PMC4111777
MID - NIHMS565961
OTO - NOTNLM
OT  - Medicaid
OT  - payment
OT  - preventive care
EDAT- 2014/03/19 06:00
MHDA- 2014/09/23 06:00
PMCR- 2015/08/01
CRDT- 2014/03/18 06:00
PHST- 2014/03/18 06:00 [entrez]
PHST- 2014/03/19 06:00 [pubmed]
PHST- 2014/09/23 06:00 [medline]
PHST- 2015/08/01 00:00 [pmc-release]
AID - 10.1111/1475-6773.12169 [doi]
PST - ppublish
SO  - Health Serv Res. 2014 Aug;49(4):1306-28. doi: 10.1111/1475-6773.12169. Epub 2014 
      Mar 13.