Higher Payments Not Significantly Associated With Physician Participation in Medicaid

Issue 623
AHRQ News Now is a weekly newsletter that highlights agency research and program activities.
July 17, 2018

AHRQ Stats: Uninsured Rates for Part-Time and Full-Time Workers

From 2005 to 2015, the percent of uninsured part-time workers dropped by 6.6 percentage points (from 19.3 to 12.7 percent). The percent uninsured among full-time workers fell by 3.0 percentage points (from 12.6 to 9.6 percent) during the same time period. (Source: AHRQ, Medical Expenditure Panel Survey Statistical Brief #511: Differences in Health Insurance Coverage between Part-Time and Full-Time Private-Sector Workers, 2005 and 2015.) 

Today's Headlines:

Higher Payments Not Significantly Associated With Physician Participation in Medicaid

A two-year increase in payments to primary care physicians who treat Medicaid patients was not associated with a significant increase in physician participation in the program, according to a new AHRQ study in Health Affairs. Under the Affordable Care Act, states were required in 2013 and 2014 to raise Medicaid primary care payment rates to the same level as Medicare payments. The change resulted in a 73 percent average payment increase to physicians for Medicaid-provided primary care services, with some states increasing payments more than 100 percent. Researchers’ analysis of more than 7,700 primary care physicians in 2011–2015 found, however, that the fee increase was not associated with an increase in the proportion of primary care physicians accepting new Medicaid patients, which remained around 65 percent.The study also found no increase in the number of Medicaid patients seen by primary care physicians who were already treating some Medicaid patients. Access the abstract

Commentary by AHRQ Experts Identifies Essential Needs in Simulation Research

Health care simulation training offers “a very promising approach” to improving patient safety, and the use of simulation has already generated some improvements in health care, according to a commentary in Academic Medicine by Jeffrey Brady, M.D, director of AHRQ’s Center for Quality Improvement and Patient Safety, and other AHRQ experts. The authors noted, however, that several concerns must be addressed before the training reaches full potential to prevent patient harms. Authors identified essential steps to progress, including pursuing the right research questions about the most effective use of simulation; doing more with simulation than simply providing a stand-alone educational experience; and addressing more seriously how simulation skills, maintenance and progression are managed. These and other central questions must be addressed before simulation training affords health care with safety gains similar to other high-risk industries. Access the abstract and more information about AHRQ’s simulation research.

Coming Soon: AHRQ To Award Grants for Identifying and Managing Unhealthy Alcohol Use

A new Notice of Intent published by AHRQ signals the agency’s upcoming plan to fund grants to improve primary care practices’ efforts to address unhealthy alcohol use among adults. The agency will issue a Request for Applications (RFA) for investigator-initiated projects that would implement patient-centered outcomes research findings to better identify and manage unhealthy alcohol use. Interventions must include screening and brief intervention, as well as medication-assisted therapy. Applications are not yet being accepted, but AHRQ intends to issue its RFA in fall 2018. Contact AHRQ’s Monique Cohen or Robert McNellis for more information.

Highlights From AHRQ’s Patient Safety Network

AHRQ’s Patient Safety Network (PSNet) highlights journal articles, books and tools related to patient safety. Articles featured this week include:

Review additional new publications in PSNet’s current issue or access recent cases and commentaries in AHRQ’s WebM&M (Morbidity and Mortality Rounds on the Web).

New Research and Evidence From AHRQ

Aug. 8 Deadline Approaching for Nominations to National Advisory Council

AHRQ is seeking nominations for seven new members of its National Advisory Council. The panel, which includes representatives from the private health care sector including, health plans, providers, purchasers, consumers and researchers, advises the agency director and the Secretary of HHS on AHRQ activities and priorities for a national health services research agenda. Seven individuals will be selected to serve beginning in spring 2019. Members generally serve three-year terms. Among other attributes, nominees should be distinguished in the conduct of health care research and demonstration projects, the fields of health care quality research or health care improvement and the practice of medicine. The deadline for nominations is Aug. 8. Access the Federal Register notice for more information.

AHRQ in the Professional Literature

Developing team cognition: a role for simulation. Fernandez R, Shah S, Rosenman ED, et al. Simul Healthc 2017 Apr;12(2):96-103. Access the abstract on PubMed®.

Research priorities for optimal use of patient-reported outcomes in quality and outcome improvement for total knee arthroplasty. Franklin PD. J Am Acad Orthop Surg 2017 Feb;25 Suppl 1:S51-4. Access the abstract on PubMed®.

Potential drug-drug and drug-disease interactions in well-functioning community-dwelling older adults. Hanlon JT, Perera S, Newman AB, et al. J Clin Pharm Ther 2017 Apr;42(2):228-33. Epub 2017 Jan 22. Access the abstract on PubMed®.

Parenting self-efficacy, parent depression, and healthy childhood behaviors in a low-income minority population: a cross-sectional analysis. Heerman WJ, Taylor JL, Wallston KA, et al. Matern Child Health J 2017 May;21(5):1156-65. Access the abstract on PubMed®. 

Hospital readmissions after surgery: how important are hospital and specialty factors? Hollis RH, Graham LA, Richman JS, et al. J Am Coll Surg 2017 Apr;224(4):515-23. Epub 2017 Jan 11. Access the abstract on PubMed®.

The economic case for digital interventions for eating disorders among United States college students. Kass AE, Balantekin KN, Fitzsimmons-Craft EE, et al. Int J Eat Disord 2017 Mar;50(3):250-8. Epub 2017 Feb 2. Access the abstract on PubMed®.

Families as partners in hospital error and adverse event surveillance. Khan A, Coffey M, Litterer KP, et al. JAMA Pediatr 2017 Apr 1;171(4):372-81. Access the abstract on PubMed®.

Helping basic scientists engage with community partners to enrich and accelerate translational research. Kost RG, Leinberger-Jabari A, Evering TH, et al. Acad Med 2017 Mar;92(3):374-9. Access the abstract on PubMed®. 

Contact Information

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Page last reviewed July 2018
Page originally created July 2018
Internet Citation: Higher Payments Not Significantly Associated With Physician Participation in Medicaid. Content last reviewed July 2018. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/news/newsletters/e-newsletter/623.html
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