Percent of physicians who accept new Medicaid patients
Measure Overview
Medicaid is the largest single source of health insurance coverage in the United States, covering millions of individuals every year. Despite Medicaid’s key role in the American health care landscape, not all physicians are willing to accept new patients who are covered by the program. Researchers have identified a number of reasons why some physicians do not participate in Medicaid, such as administrative problems when submitting claims to Medicaid and lower Medicaid reimbursement rates compared to Medicare and private insurance plans. Tracking the rate of physicians who accept new Medicaid patients is therefore a key step in identifying the areas in which Medicaid beneficiaries are more or less likely to experience difficulty accessing health care due to their insurance status.
State Health Compare provides state-level rates of physicians who reported accepting payments from Medicaid patients across different timeframes and breakdowns (e.g., type of clinical setting, share of Medicaid patients, ratio of mid-level providers). Estimates for this measure are representative of non-federally employed office-based physicians who engage primarily in direct patient care and are based on findings from the National Electronic Health Records Survey (NEHRS) fielded by the National Center for Health Statistics (NCHS).
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Explore Physician Acceptance of New Medicaid Patients through Two New Measures State Health Compare and MACPAC Factsheet
This blog post outlines physician acceptance of new patients measures (including whether or not they accept Medicaid patients) presented by SHADAC under contract with MACPAC. These measures are based on data from the National Electronic Health Records Survey (NEHRS) and provide estimates for different pooled data years.