Increasing Medicaid primary care fees for certain physicians in 2013 and 2014: a primer on the health reform provision and final rule

Increasing Medicaid primary care fees for certain physicians in 2013 and 2014: a primer on the health reform provision and final rule

Collection:
Health Policy and Services Research
Series Title(s):
Policy brief (Kaiser Commission on Medicaid and the Uninsured)
Contributor(s):
Henry J. Kaiser Family Foundation, issuing body.
Kaiser Commission on Medicaid and the Uninsured, issuing body.
Publication:
Washington, DC : Henry J. Kaiser Family Foundation, December 2012
Language(s):
English
Format:
Text
Subject(s):
Fees, Medical -- trends
Medicaid -- economics
Medicaid -- statistics & numerical data
Primary Health Care -- economics
Health Care Reform -- economics
Health Care Reform -- legislation & jurisprudence
Managed Care Programs -- legislation & jurisprudence
United States
United States.
Genre(s):
Technical Report
Abstract:
Under the ACA, beginning in 2014, millions of uninsured Americans will gain Medicaid in states that implement the Medicaid expansion. To help ensure access to meet expected higher demands for care in Medicaid, the health reform law requires states to pay certain physicians Medicaid fees at least equal to Medicare's for many primary care services in 2013 and 2014. The idea behind the fee increase is to boost physician participation in Medicaid and to provide increased support for physicians who already participate and who might expand their Medicaid service. The fee increase is federally funded. On November 6, 2012, CMS published a Final Rule outlining how states are to implement the higher fees. This brief explains major elements of the statute and rule.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Extent:
1 online resource (1 PDF file (11 pages))
Illustrations:
Illustrations
NLM Unique ID:
101605119 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/101605119