Zuckerman Stephen, Williams Aimee F, Stockley Karen E
Urban Institute's Health Policy Center, in Washington, DC, USA.
Health Aff (Millwood). 2009 May-Jun;28(3):w510-9. doi: 10.1377/hlthaff.28.3.w510. Epub 2009 Apr 28.
Medicaid physician fees increased 15.1 percent, on average, between 2003 and 2008. This was below the general rate of inflation, resulting in a reduction in real fees. Only primary care fees grew at the rate of inflation-20 percent between 2003 and 2008. However, because of slow growth in Medicare fees, Medicaid fees closed a small portion of their ongoing gap relative to Medicare-growing from 69 percent to 72 percent of Medicare. The increase in Medicaid fees relative to Medicare fees resulted from relative increases for primary care and obstetrical services, but not for other services.
2003年至2008年间,医疗补助计划(Medicaid)支付给医生的费用平均增长了15.1%。这一增幅低于总体通货膨胀率,导致实际费用减少。只有初级保健费用的增长速度与通货膨胀率持平——在2003年至2008年间增长了20%。然而,由于医疗保险(Medicare)费用增长缓慢,医疗补助计划费用与医疗保险费用之间持续存在的差距缩小了一小部分,从医疗保险费用的69%增长到了72%。医疗补助计划费用相对于医疗保险费用的增加是由于初级保健和产科服务费用的相对增加,而非其他服务费用的增加。