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Citation

Spivack, Steven B.; Murray, Genevra F.; Rodriguez, Hector P.; & Lewis, Valerie A. (2021). Avoiding Medicaid: Characteristics of Primary Care Practices with No Medicaid Revenue. Health Affairs, 40(1), 98-104. PMCID: PMC9924217

Abstract

Primary care access for Medicaid patients is an ongoing area of concern. Most studies of providers' participation in Medicaid have focused on factors associated with the Medicaid program, such as reimbursement rates. Few studies have examined the characteristics of primary care practices associated with Medicaid participation. We used a nationally representative survey of primary care practices to compare practices with no, low, and high Medicaid revenue. Seventeen percent of practices received no Medicaid revenue; 38 percent and 45 percent were categorized as receiving low and high Medicaid revenue, respectively. Practices with no Medicaid revenue were more often small, independent, and located in urban areas with higher household income. These practices also have lower population health capabilities.

URL

http://dx.doi.org/10.1377/hlthaff.2020.00100

Reference Type

Journal Article

Year Published

2021

Journal Title

Health Affairs

Author(s)

Spivack, Steven B.
Murray, Genevra F.
Rodriguez, Hector P.
Lewis, Valerie A.

Article Type

Regular

PMCID

PMC9924217

Data Set/Study

National Survey of Healthcare Organizations and Systems (NSHOS)

Continent/Country

United States

State

Nonspecific