HPM Brown Bag Discussion

The Impact of the Medicaid Primary Care Fee Bump on the Quality and Cost of Care for Dual-Eligibles with Multiple Chronic Conditions
11:30 am
12:30 pm
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Mark Unruh, PhD
Assistant Professor of Healthcare Policy and Research, Weill Cornell Medical College
Brown Bag Lunch
Department of Health Policy and Management
Open to the Columbia Community
The Affordable Care Act enacted a temporary "Medicaid primary care fee bump" that required states' Medicaid programs to reimburse health care providers the same rates as Medicare for primary care services for all Medicaid patients during a two-year period, 2013-2014. For dual-eligibles, states' Medicaid programs were required to reimburse providers the full 20% Medicare coinsurance for primary care services. Using a difference-in-differences approach with Medicare fee-for-services claims for the period 2011-2014, we sought to answer two questions: (1) Did the Medicaid fee bump improve the quality of care for dual-eligibles with multiple chronic conditions? (2) Did the Medicare fee bump reduce the total costs for dual-eligibles with multiple chronic conditions? The answers to these questions have important implications since only 19 states maintained higher Medicaid payments for primary care services for dual-eligilbes after the fee bump expired at the end of 2014.


Carey McHugh