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Related Experiment Videos

Physician participation in state Medicaid programs.

F Sloan, J Mitchell, J Cromwell

    The Journal of Human Resources
    |January 1, 1978
    PubMed
    Summary

    Higher Medicaid reimbursement rates and reduced administrative burdens encourage more physicians to participate in the program, improving access to care for patients. This study models physician participation decisions.

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    Area of Science:

    • Health Economics
    • Public Health Policy
    • Physician Behavior Analysis

    Background:

    • Medicaid reimbursement requires physicians to accept payment in full.
    • Physician participation in Medicaid is influenced by program policies.

    Purpose of the Study:

    • To develop and analyze a model of physician participation in Medicaid.
    • To identify policy levers that can increase physician involvement with Medicaid patients.

    Main Methods:

    • Developed a theoretical model of physician participation decisions.
    • Conducted comparative statics analysis.
    • Utilized data from a 1975-76 survey of fee-for-service physicians.

    Main Results:

    • Higher fee schedules positively correlate with increased physician participation.
    • Lower administrative burdens significantly stimulate physician involvement.
    • Model predictions are supported by empirical findings.

    Conclusions:

    • Medicaid policy can effectively influence physician participation through reimbursement levels and administrative load.
    • Optimizing these policy instruments is crucial for enhancing patient access to care.

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