Office of Analysis and Epidemiology, National Center for Health Statistics, Hyattsville, MD, USA.
Health Aff (Millwood). 2013 Jul;32(7):1183-7. doi: 10.1377/hlthaff.2013.0361.
As part of the Affordable Care Act, primary care physicians providing services to patients insured through Medicaid in some states will receive higher payments in 2013 and 2014 than in the past. Payments for some services will increase to match Medicare rates. This change may lead to wider acceptance of new Medicaid patients among primary care providers. Using data from the 2011-12 National Ambulatory Medical Care Survey Electronic Medical Records Supplement, I summarize baseline rates of acceptance of new Medicaid patients among office-based physicians by specialty and practice type. I also report state-level acceptance rates for both primary care and other physicians. About 33 percent of primary care physicians (those in general and family medicine, internal medicine, or pediatrics) did not accept new Medicaid patients in 2011-12, ranging from a low of 8.9 percent in Minnesota to a high of 54.0 percent in New Jersey. Primary care physicians in New Jersey, California, Alabama, and Missouri were less likely than the national average to accept new Medicaid patients in 2011-12. The data presented here provide a baseline for comparison of new Medicaid acceptance rates in 2013-14.
作为平价医疗法案的一部分，在某些州为通过医疗补助计划投保的患者提供服务的初级保健医生在 2013 年和 2014 年将获得比过去更高的报酬。某些服务的报酬将增加到与医疗保险费率相匹配。这一变化可能会导致初级保健提供者更愿意接受新的医疗补助计划患者。利用 2011-12 年全国门诊医疗护理调查电子病历补充数据，我按专业和执业类型总结了初级保健医生接受新 Medicaid 患者的基准接受率。我还报告了初级保健医生和其他医生的州级接受率。在 2011-12 年，约有 33%的初级保健医生（全科和家庭医生、内科或儿科医生）没有接受新的 Medicaid 患者，从明尼苏达州的 8.9%到新泽西州的 54.0%不等。2011-12 年，新泽西州、加利福尼亚州、阿拉巴马州和密苏里州的初级保健医生比全国平均水平更不愿意接受新的 Medicaid 患者。这里呈现的数据为比较 2013-14 年新 Medicaid 接受率提供了一个基准。
