Primary care appointment availability for new medicaid patients increased after medicaid expansion in Michigan

Health Affairs

Volumn 34, Issue 8, 2015, Pages 1399-1406

  Tipirneni, Renuka ^a   Rhodes, Karin V ^b   Hayward, Rodney A ^c   Lichtenstein, Richard L ^d   Reamer, Elyse N ^e   Davis, Matthew M ^c  

^a UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

^c UNIVERSITY OF MICHIGAN   (United States)

^d UNIVERSITY OF MICHIGAN SCHOOL OF PUBLIC HEALTH   (United States)

^e ROBERT WOOD JOHNSON FOUNDATION   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HEALTH CARE ACCESS; HEALTH CARE AVAILABILITY; HEALTH CARE PLANNING; HEALTH CARE PRACTICE; HUMAN; MEDICAID; PRIMARY MEDICAL CARE; PRIVATE HEALTH INSURANCE; UNITED STATES; ECONOMICS; HEALTH CARE DELIVERY; HEALTH CARE POLICY; HOSPITAL MANAGEMENT; INSURANCE; MICHIGAN; PRIMARY HEALTH CARE; STATISTICS AND NUMERICAL DATA; UTILIZATION;

APPOINTMENTS AND SCHEDULES; HEALTH CARE REFORM; HEALTH SERVICES ACCESSIBILITY; HUMANS; INSURANCE COVERAGE; MEDICAID; MICHIGAN; PATIENT PROTECTION AND AFFORDABLE CARE ACT; PRIMARY HEALTH CARE; UNITED STATES;

EID: 84938694278     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2014.1425     Document Type: Article

References (44)

1. Sommers BD, Baicker K, Epstein AM. Mortality and access to care among adults after state Medicaid expansions. N Engl J Med. 2012; 367(11):1025-34.
2. Van Der Wees PJ, Zaslavsky AM, Ayanian JZ. Improvements in health status after Massachusetts health care reform. Milbank Q. 2013;91(4):663-89.
3. Sommers BD, Long SK, Baicker K. Changes in mortality after Massachusetts health care reform: a quasiexperimental study. Ann Intern Med. 2014;160(9):585-93.
4. Bindman AB, Grumbach K, Osmond D, Vranizan K, Stewart AL. Primary care and receipt of preventive services. J Gen Intern Med. 1996;11(5):269-76.
5. Ettner SL. The relationship between continuity of care and the health behaviors of patients: does having a usual physician make a difference? Med Care. 1999;37(6):547-55.
6. Starfield B, Shi L, Grover A, Macinko J. The effects of specialist supply on populations' health: assessing the evidence. Health Aff (Millwood). 2005;24:w5-97-107. DOI: 10.1377/hlthaff.w.5.97.
7. Schoen C, Osborn R, Squires D, Doty MM. Access, affordability, and insurance complexity are often worse in the United States compared to ten other countries. Health Aff (Millwood). 2013;32(12):2205-15.
8. Allen H, Wright BJ, Baicker K. New Medicaid enrollees in Oregon report health care successes and challenges. Health Aff (Millwood). 2014;33(2):292-9.
9. Massachusetts Medical Society. 2010 Physician Workforce Study [Internet]. Waltham (MA): The Society; 2010 Oct [cited 2015 Jun 8]. Available from: http://www.massmed .org/News-and-Publications/ Research-and-Studies/MMSPhysician-Workforce-Study-2010-Full-Report-(pdf)/
10. Zhu J, Brawarsky P, Lipsitz S, Huskamp H, Haas JS. Massachusetts health reform and disparities in coverage, access and health status. J Gen Intern Med. 2010;25(12):1356-62.
11. Medicaid Access Study Group. Access of Medicaid recipients to outpatient care. N Engl J Med. 1994; 330(20):1426-30.
12. Cheung PT,Wiler JL, Lowe RA, Ginde AA. National study of barriers to timely primary care and emergency department utilization among Medicaid beneficiaries. Ann Emerg Med. 2012;60(1):4-10.
13. Asplin BR, Rhodes KV, Levy H, Lurie N, Crain AL, Carlin BP, et al. Insurance status and access to urgent ambulatory care follow-up appointments. JAMA. 2005;294(10):1248-54.
14. Rhodes KV, Kenney GM, Friedman AB, Saloner B, Lawson CC, Chearo D, et al. Primary care access for new patients on the eve of health care reform. JAMA Intern Med. 2014; 174(6):861-9.
15. Colwill JM, Cultice JM, Kruse RL. Will generalist physician supply meet demands of an increasing and aging population? Health Aff (Millwood). 2008;27(3):w232-41. DOI:10.1377/hlthaff.27.3.w232.
16. Council on Graduate Medical Education. Sixteenth report: physician workforce policy guidelines for the United States, 2000-2020 [Internet]. Rockville (MD): Health Resources and Services Administration; 2005 Jan [cited 2015 Jun 8]. Available from: http://www.hrsa .gov/advisorycommittees/ bhwadvisory/cogme/Reports/ sixteenthreport.pdf
17. Department of Health and Human Services Office of Inspector General. State standards for access to care in Medicaid managed care [Internet]. Washington (DC): HHS; 2014 Sep [cited 2015 Jun 8]. Available from:http://oig.hhs.gov/oei/reports/oei-02-11-00320.pdf
18. Department of Health and Human Services Office of Inspector General. Access to care: provider availability in Medicaid managed care [Internet]. Washington (DC): HHS; 2014 Dec [cited 2015 Jun 8]. Available from: https://oig.hhs.gov/oei/reports/oei-02-13-00670.pdf
19. Kletke PR, Davidson SM, Perloff JD, Schiff DW, Connelly JP. The extent of physician participation in Medicaid:a comparison of physician estimates and aggregated patient records. Health Serv Res. 1985;20(5):503-23.
20. Skaggs DL, Clemens SM, Vitale MG, Femino JD, Kay RM. Access to orthopedic care for children with Medicaid versus private insurance in California. Pediatrics. 2001;107(6):1405-8.
21. Resneck J Jr, Pletcher MJ, Lozano N. Medicare, Medicaid, and access to dermatologists: the effect of patient insurance on appointment access and wait times. J Am Acad Dermatol. 2004;50(1):85-92.
22. Galbraith AA, Grossman DC, Koepsell TD, Heagerty PJ, Christakis DA. Medicaid acceptance and availability of timely follow-up for newborns with Medicaid. Pediatrics. 2005;116(5):1148-54.
23. Blanchard J, Ogle K, Thomas O, Lung D, Asplin B, Lurie N. Access to appointments based on insurance status in Washington, D.C. J Health Care Poor Underserved. 2008;19(3):687-96.
24. Rhodes KV, Vieth TL, Kushner H, Levy H, Asplin BR. Referral without access: for psychiatric services, wait for the beep. Ann Emerg Med. 2009; 54(2):272-8.
25. Bisgaier J, Rhodes KV. Auditing access to specialty care for children with public insurance. N Engl J Med. 2011;364(24):2324-33.
26. Chaudhry SB, Armbrecht ES, Shin Y, Matula S, Caffrey C, Varade R, et al. Pediatric access to dermatologists:Medicaid versus private insurance. J Am Acad Dermatol. 2013;68(5):738-48.
27. Jones W, Elwyn G, Edwards P, Edwards A, Emmerson M, Hibbs R. Measuring access to primary care appointments: a review of methods. BMC Fam Pract. 2003;4:8.
28. National Center for Health Statistics. Ambulatory health care data [Internet]. Hyattsville (MD): NCHS; [last updated 2015 Jun 12; cited 2015 Jun 18]. Available from: http://www.cdc.gov/nchs/ahcd.htm
29. National Center for Health Statistics. National Health Interview Survey (NHIS) [Internet]. Hyattsville (MD):NCHS; [last updated 2015 Jun 11; cited 2015 Jun 18]. Available from:http://www.cdc.gov/nchs/nhis.htm
30. Henry J. Kaiser Family Foundation. Status of state action on the Medicaid expansion decision [Internet]. Menlo Park (CA): KFF; 2015 May 26 [cited 2015 Jun 8]. Available from:http://kff.org/health-reform/stateindicator/ state-activity-aroundexpanding-medicaid-under-theaffordable-care-act
31. Davis MM, Udow-Phillips M, Riba M, Young D, Royan R. Primary care capacity and health reform: is Michigan ready? [Internet] Ann Arbor (MI): Center for Healthcare Research and Transformation; 2013 Jan [cited 2015 Jun 8]. (Policy Brief). Available from: http://chrt .med.umich.edu/document/ primary-care-capacity-healthreform-michigan-ready/
32. Michigan.gov [Internet]. Lansing (MI): State of Michigan. Press release, Healthy Michigan Plan enrollment surpasses 400,000; 2014 Sep 25 [cited 2015 Jun 8]. Available from: http://www.michigan.gov/ snyder/0,4668,7-277-57577_57657-338204-,00.html
33. Blumberg LJ, Holahan J, Kenney GM, Buettgens M, Anderson N, Recht H, et al. Measuring Marketplace enrollment relative to enrollment projections: update [Internet]. Washington (DC): Urban Institute; 2014 May 1 [cited 2015 Jun 8].(Brief). Available from: http://www .urban.org/UploadedPDF/413112-Measuring-Marketplace-Enrollment-Relative-to-Enrollment-Projections-Update.pdf
34. Ayanian JZ, Clark SJ, Tipirneni R. Launching the Healthy Michigan Plan-the first 100 days. N Engl J Med. 2014;371(17):1573-5.
35. Michigan Department of Health and Human Services [Internet]. Lansing (MI): The Department. Press release, Healthy Michigan Plan surpasses total enrollment projection in eight months; 2014 Dec 11 [cited 2015 Jun 9]. Available from: http://content.govdelivery.com/accounts/MIDCH/bulletins/e2734c
36. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation. Health Insurance Marketplace:summary enrollment report for the initial annual open enrollment period [Internet]. Washington (DC):HHS; 2014 May 1 [cited 2015 Jun 9]. Available from: http://aspe.hhs.gov/health/reports/2014/marketplaceenrollment/apr2014/ib_2014apr_enrollment.pdf
37. To access the Appendix, click on the Appendix link in the box to the right of the article online.
38. SK&A. Fact sheet: healthcare profiling data verified at the source daily [Internet]. Irvine (CA): SK&A; [last updated 2012 Mar 1; cited 2015 Jun 9]. Available from: http://www .skainfo.com/research_center-factsheet.pdf
39. Polsky D, Richards M, Basseyn S, Wissoker D, Kenney GM, Zuckerman S, et al. Appointment availability after increases in Medicaid payments for primary care. N Engl J Med. 2015;372(6):537-45.
40. Kullgren JT, McLaughlin CG, Mitra N, Armstrong K. Nonfinancial barriers and access to care for U.S. adults. Health Serv Res. 2012; 47(1 Pt 2):462-85.
41. Decker SL. In 2011 nearly one-third of physicians said they would not accept new Medicaid patients, but rising fees may help. Health Aff (Millwood). 2012;31(8):1673-9.
42. Eklund SA, Pittman JL, Clark SJ. Michigan Medicaid's Healthy Kids Dental program: an assessment of the first 12 months. J Am Dent Assoc. 2003;134(11):1509-15.
43. Zuckerman S, Goin D (Urban Institute, Washington, DC). How much will Medicaid physician fees for primary care rise in 2013? Evidence from a 2012 survey of Medicaid physician fees [Internet]. Washington (DC): Kaiser Commission on Medicaid and the Uninsured; 2012 Dec [cited 2015 Jun 9]. Available from: http://kaiserfamily foundation.files.wordpress.com/2013/01/8398.pdf
44. Sommers AS, Paradise J, Miller C. Physician willingness and resources to serve more Medicaid patients:perspectives from primary care physicians. Medicare Medicaid Res Rev. 2011;1(2).