The impact of Medicaid adoption of the Medicare fee schedule.
Date of Pub
Gates, Michael; Tsoflias, Lynn; Wade, Martcia
In this article, the authors simulate the effects on Federal and State Medicaid expenditures of increasing Medicaid fees to
Medicare fee schedule (MFS) levels. Strict adoption of the MFS by the States would increase total Medicaid spending by approximately
4 percent, $2.5 to $2.9 billion. Because Medicaid fees vary across States, so does the impact of adopting the MFS. Medicaid
spending would increase significantly in some wealthy States with large Medicaid populations and in a few small, relatively
poor States. Some States currently pay more than the MFS for obstetrical services. If these fees continued at higher levels
for obstetrical care, total Medicaid spending would increase by $3.5 to $4.0 billion.
Fee Schedules : Adult : Behavior : Child : Fees, Medical/statistics & numerical data : Health Expenditures/trends : Human
: Insurance, Physician Services/economics : Linear Models : Medicaid/economics/utilization : Medicare Part B/economics : Models,
Statistical : State Health Plans/economics : Support, U.S. Gov't, Non-P.H.S. : United States