Research Report Medicaid Physician Fees after the ACA Primary Care Fee Bump
Subtitle
19 States Continue the Affordable Care Act’s Temporary Policy Change
Stephen Zuckerman, Laura Skopec, Marni Epstein
Display Date
File
File
Download Report
(424.58 KB)

Medicaid has historically paid physicians lower fees than Medicare for the same services. The Affordable Care Act included a mandatory two-year increase in fees for primary care services to Medicare levels to address concerns about the effects of low reimbursement on access to care for Medicaid beneficiaries. As of 2016, 19 states have continued this fee bump in some form with state funds, suggesting that even a temporary federal policy had lasting effects on some states’ approaches to Medicaid reimbursement. These state-level policies provide an opportunity to gather additional evidence of Medicaid reimbursement’s effects on access to care.
Research and Evidence Health Policy
Expertise Health Care Coverage, Access, and Affordability Health Care Reform Medicare and Medicaid
Tags Federal health care reform Health care delivery and payment Medicaid and the Children’s Health Insurance Program