Cargando…

Factors Affecting Physician Provision of Preventive Care to Medicaid Children

Medicaid data for California, Georgia, Michigan, and Tennessee were used to analyze changes in fee and non-fee policies on physicians' service provision to children, before and after the enactment of the Omnibus Budget Reconciliation Act of 1989 (OBRA-1989). Only Michigan raised Medicaid preven...

Descripción completa

Detalles Bibliográficos
Autor principal: Adams, E. Kathleen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: CENTERS for MEDICARE & MEDICAID SERVICES 2001
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194742/
https://www.ncbi.nlm.nih.gov/pubmed/12378784
_version_ 1782339175351058432
author Adams, E. Kathleen
author_facet Adams, E. Kathleen
author_sort Adams, E. Kathleen
collection PubMed
description Medicaid data for California, Georgia, Michigan, and Tennessee were used to analyze changes in fee and non-fee policies on physicians' service provision to children, before and after the enactment of the Omnibus Budget Reconciliation Act of 1989 (OBRA-1989). Only Michigan raised Medicaid preventive fees relative to the private sector Higher relative fees increased child caseloads of participating physicians and the likelihood of providing preventive care. However, fee policy is less effective in urban poor areas due to residential segregation. Michigan's and Georgia's non-fee policy changes appeared effective in increasing EPSDT participation relative to the other States.
format Online
Article
Text
id pubmed-4194742
institution National Center for Biotechnology Information
language English
publishDate 2001
publisher CENTERS for MEDICARE & MEDICAID SERVICES
record_format MEDLINE/PubMed
spelling pubmed-41947422014-11-04 Factors Affecting Physician Provision of Preventive Care to Medicaid Children Adams, E. Kathleen Health Care Financ Rev Research Article Medicaid data for California, Georgia, Michigan, and Tennessee were used to analyze changes in fee and non-fee policies on physicians' service provision to children, before and after the enactment of the Omnibus Budget Reconciliation Act of 1989 (OBRA-1989). Only Michigan raised Medicaid preventive fees relative to the private sector Higher relative fees increased child caseloads of participating physicians and the likelihood of providing preventive care. However, fee policy is less effective in urban poor areas due to residential segregation. Michigan's and Georgia's non-fee policy changes appeared effective in increasing EPSDT participation relative to the other States. CENTERS for MEDICARE & MEDICAID SERVICES 2001 /pmc/articles/PMC4194742/ /pubmed/12378784 Text en
spellingShingle Research Article
Adams, E. Kathleen
Factors Affecting Physician Provision of Preventive Care to Medicaid Children
title Factors Affecting Physician Provision of Preventive Care to Medicaid Children
title_full Factors Affecting Physician Provision of Preventive Care to Medicaid Children
title_fullStr Factors Affecting Physician Provision of Preventive Care to Medicaid Children
title_full_unstemmed Factors Affecting Physician Provision of Preventive Care to Medicaid Children
title_short Factors Affecting Physician Provision of Preventive Care to Medicaid Children
title_sort factors affecting physician provision of preventive care to medicaid children
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4194742/
https://www.ncbi.nlm.nih.gov/pubmed/12378784
work_keys_str_mv AT adamsekathleen factorsaffectingphysicianprovisionofpreventivecaretomedicaidchildren