DOES INCREASING STATE MEDICAID PAYMENT RATES FOR PHYSICIAN SERVICES REDUCE PER ENROLLEE MEDICAID EXPENDITURES?
EXPERIENCES IN NORTH CAROLINA AND MISSISSIPPI Steve Berman, Suk-fong Tang, Judy Dolins, Beth Yudkowsky. Children’s Outcomes Research, University of Colorado and The Children’s Hospital, Denver, CO; Division of Health Policy Research, American Academy of Pediatrics, Elk Grove Village, IL. BACKGROUND: The willingness of pediatricians to care for children enrolled in Medicaid is associated with their payment rates. Having a medical home with a pediatrician can affect the pattern of Medicaid expenditures per pediatric enrollee. In 2000, North Carolina and Mississippi raised physician payment rates in order to increase pediatrician Medicaid participation and contain total pediatric per enrollee Medicaid expenditures while improving access to services. It is important to document the effect of these increased payment rates on the pattern of expenditures. OBJECTIVE: Determine the effects of increasing Medicaid pediatric payment rates for physician services in North Carolina and Mississippi on
Related Questions
- The Centers for Medicare & Medicaid Services (CMS) Change Request from May 2, 2008 seems to state that only UB-04 claim form billers must include NDC information. Is that correct?
- What is the definition of a Serious Adverse Event (SAE) under the New York State Medicaid inpatient payment policy?
- Should the State enact a law that automatically adjusts Medicaid reimbursement rates to health care providers?
