Medicaid penetration rate


Although not all state Medicaid programs contract with MCOs, a large and growing majority do, and states are also rapidly expanding their use of MCOs to reach larger geographic areas, serve more medically complex beneficiaries, deliver long-term services and supports, and, in states that have expanded Medicaid under the Affordable Care Act ACA , to serve millions of newly eligible low-income adults. We estimate the model on the sample of respondents who have Medicaid. The final section of this article summarizes the results and discusses their implications for the Medicaid Undercount and future research. In addition, the Tracker provides information on parent firms that own Medicaid MCOs in two or more states. Again, our robustness checks suggest that the Chattopadhyay and Bindman result is not robust. Finally, we reestimated the models using the much larger California Health Interview Survey 40,—50, households every 2 years versus the CPS's 4,—6, California households per year.
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Medicare Advantage Isn’t Just a Republican Idea Anymore

They found that while commercial plan penetration was associated with a small, positive effect on primary care physician participation, this was not sufficient to offset the significantly large negative effects of increased penetration of Medicaid-dominant plans on participation among these primary care physicians. We test for an independent effect of these two measures of managed care on physician participation across the CTS-PS markets. This article has been cited by other articles in PMC. The penetration rate for each market is then the percentage of all Medicaid enrollees in the market that are in an HMO. The first column shows the results from the logit model for whether physicians have any Medicaid revenue. Center for Health Care Strategies Inc. While the program is growing nationally, it is growing faster in some places than others.
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Medicaid HMO Penetration and Its Mix: Did Increased Penetration Affect Physician Participation in Urban Markets?

The data are available for selected states prior to A question for state and federal policy makers is what the newer Medicaid market developments mean for attracting adequate numbers of qualified physicians. Those with a mature level of Medicaid managed care may maintain provider networks by moving to risk adjustment of rates as their programs have more fully penetrated their enrollee population. These products include a Statistical Compendium of detailed statistics, by state; a Chartbook of Medicaid pharmacy benefit use and reimbursement; and a summary of major Medicaid pharmacy benefit features for , by state.
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Medicaid penetration rate
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Medicaid penetration rate
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Managed Care Fact Sheets > National Managed Care Penetration

Medicaid penetration rate



Description: States interested in improving access are less likely to discount historical payment levels when setting capitation rates Holahan et al. Journal List Health Serv Res v. Did this association vary for commercial versus Medicaid-dominant plan penetration? There are positive and significant effects on participation from increased relative Medicaid fees, mainly for office-based physicians already participating to some extent in the Medicaid market and for nonoffice-based physicians. Given the rapid change of the Medicaid managed care market in recent years, a limitation of our analysis is the lack of more timely data.

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