Document Detail

Effect of increased Medicaid fees on physician participation and enrollee service utilization in Tennessee, 1985-1988.
MedLine Citation:
PMID:  8021023     Owner:  NLM     Status:  MEDLINE    
Integration of low-income persons, now covered largely through Medicaid, into mainstream provider networks requires sufficient numbers of physicians willing to serve them. This paper examines a 1986 change in fees in Tennessee that was aimed explicitly at increasing physician participation in Medicaid. County/monthly panel data from 1985-1988 were used to examine visits per enrollee, physician participation, and caseloads. Higher fees were found to lead to increased participation in both urban and rural countries, but were less effective in increasing the number of visits per enrollee in urban areas and physician caseloads in both urban and rural areas. A measure of the residential segregation of Medicaid enrollees within each county was found to have a negative influence on the number of visits per enrollee, on participation, and on caseloads when measured across all participating physicians.
E K Adams
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Inquiry : a journal of medical care organization, provision and financing     Volume:  31     ISSN:  0046-9580     ISO Abbreviation:  Inquiry     Publication Date:  1994  
Date Detail:
Created Date:  1994-08-01     Completed Date:  1994-08-01     Revised Date:  2000-12-18    
Medline Journal Info:
Nlm Unique ID:  0171671     Medline TA:  Inquiry     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  173-87     Citation Subset:  IM    
Emory University School of Public Health, Atlanta, GA 30329.
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MeSH Terms
Fees, Medical*
Health Services Accessibility
Medicaid / economics*,  utilization
Primary Health Care / economics,  utilization
Rate Setting and Review*
Rural Health
Socioeconomic Factors
United States
Urban Health

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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