Is a Physician "Provider Tax" the Solution to Michigan's Medicaid Woes?
David C Markel1, Peter J Sauer2, Ralph B Blasier3
1The CORE Institute, Detroit Medical Center/Providence Hospital Orthopaedic Surgery Residency Program, Providence Hospital and Medical Centers, 22250 Providence Drive, Suite #401, Southfield, MI 48075 USA.
Background:
Michigan is facing a Medicaid budget shortfall. Evidence suggests that the underlying factors causing reliance on Medicaid and cost of treatment to increase are getting worse. A tax on Michigan physicians has been proposed by legislators to meet the budget demands of Michigan's Medicaid program.
Questions/Purposes:
This paper looks at the legal basis of such a tax, studies the successes and failures of other states that have implemented similar taxes, and attempts to assess the effect this tax would have on Michigan doctors and patients.
Conclusion:
With current Medicaid rules, such a tax would increase federal matching funds and potentially reimbursement rates. However, the cost of a tax on physicians would not be born equally, and there are no guarantees that the revenue would provide a funding solution.
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