Cost-Sharing and Prior Authorization Effects on Medicaid Services in California

Providers for California's Medical program were interviewed to determine their reaction to the copayment experiment. Private physicians, pharmacists, and nursing homes routinely collected the copayments and though it was not a particular hardship on the patients. Hospital outpatient departments often did not collect. Physicians both in hospitals and in private practice generally did not know which patients were copayers and hence copayment had no effect on their practice. Pharmacists reported some delay and some selectivity on the part of patients in the filling of their prescriptions. All providers felt as much more harassment and interference from the concurrent prior authorization requirements. This effect may have swamped copayment effects

Actuarial science · Authorization · Business · Computer security · Copayment · Cost sharing · Economic growth · Economics · Family medicine · Health care · Health insurance · Medicaid · Medical prescription · Prior authorization · Service (business) · Global Health Care Issues · Healthcare Policy and Management · Marketing · Medicine · Nursing

• Cost-Sharing Effects???Response to Myers

  Jay Wolfson, Alan M Sear et al.•Medical Care•1982

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• Effects of Cost-Sharing on Users of a State??s Health Service Program

  Jay Wolfson, Asha S Kapadia et al.•Medical Care•1982

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• Physician Participation in Health Care Programs

  Open Access•David B Hill•Policy Studies Journal•1981

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