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Medicaid Participation by Medical and Surgical Specialists

Bibliographic Data

ID9102073
AuthorsJanet B Mitchell (Chestnut Hill College, corresponding author)
Year1983
Volume21
Issue9
Pages929-938
Publication date1983-09-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-198309000-00008
PMID6353085
OpenAlexW2048640897
LanguageEN
Citations received9

Most studies of physician participation in Medicaid have focused on primary care physicians, but access by the poor to specialists' services is also a policy concern. This study examined Medicaid participation rates for a national sample of 2291 private practice physicians in nine medical and surgical specialties. Four fifths of the specialists treated at least some Medicaid patients, with an average case load of 11.2% Medicaid patients, rates very similar to those obtained elsewhere for primary care physicians. Surgical specialists, especially ophthalmologists, otolaryngologists, and urologists, were the most willing to participate, and cardiologists were the least willing. Multivariate analysis confirmed the importance of Medicaid programmatic characteristics on both physician entry and level of participation. A 10% increase in the Medicaid fee would raise specialist participation by 3%. Other factors encouraging participation included faster claims processing, fewer limits on the quantity of services covered, and more generous eligibility criteria

Family medicine · Health care · Medicaid · Medical care · Multivariate analysis · Primary care · Healthcare Policy and Management · Medicine · Patient Satisfaction in Healthcare · Primary Care and Health Outcomes

  • Physician Participation in Medicaid Revisited

    Janet B Mitchell•Medical Care•1991

  • Recent Trends in Pediatrician Participation in Medicaid

    Janet D Perloff, Phillip R Kletke et al.•Medical Care•1986

  • Who Cares for Uninsured Persons

    David Blumenthal, John A Rizzo•Medical Care•1991

  • Access to Private Obstetrics/Gynecology Services Under Medicaid

    Janet B Mitchell, Rachel Schuraman•Medical Care•1984

  • Medicaid physician payment reform

    Anne Lenhard Reisinger, David C Colby et al.•American Journal of Public Health•1994

  • The Effect of Pre-Affordable Care Act (ACA) Medicaid Eligibility Expansion in New York State on Access to Specialty Surgical Care

    Oluseyi Aliu, Katherine A Auger et al.•Medical Care•2014

  • Factors Affecting Primary Care Physician Participation in Medicare

    Peter C Damiano, Elizabeth T Momany et al.•Medical Care•1997

  • The Impact of Medicaid Managed Care on Primary Care Physician Participation in Medicaid

    Jessica Greene, Jan Blustein et al.•Medical Care•2005

  • Money illusion among health care providers

    Open Access•Michelle L Mayer, R Gary Rozier•Social Science & Medicine•2000

Unique citing works9
Citations per year0,21
Citation span1984 - 2014 (31)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 5

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