State Payment Limitations on Medicare Cost-Sharing

The Balanced Budget Act (BBA) of 1997 allowed states to limit how much their Medicaid programs contributed toward the Medicare cost-sharing liability of dually eligible beneficiaries. Policymakers have grown concerned that such limitations may affect access to care for these beneficiaries. We used a quasi-experimental design to analyze changes in access from 1996 to 1998, using Medicare and Medicaid data from nine states. Cost-sharing payments fell in six of the nine states following the BBA, and access to outpatient physician visits for dually eligible beneficiaries was reduced relative to non-dually eligible beneficiaries in those states

Actuarial science · Business · Cost sharing · Cost-shifting · Economic growth · Economics · Family medicine · Health care · Medicaid · Payment · Finance · Global Health Care Issues · Health Systems, Economic Evaluations, Quality of Life · Healthcare Policy and Management · Medicine · Nursing

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  Open Access•Alex D Federman•The AMA Journal of Ethic•2006

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  Margaret E Burns, Marguerite E Burns et al.•Medical Care•2016

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