Tracking Changes in Primary Care Clinicians' Medicaid Participation Using Novel Methods.

ABSTRACT: Medicaid enrollees often face barriers to care due to inconsistent clinician participation. This study investigates how primary care clinicians' engagement with Medicaid evolved from 2016 to 2019, focusing on those already serving Medicaid patients at baseline. Using longitudinal data from the Transformed Medicaid Statistical Information System Analytic Files (TAFs), we analyzed changes in the number of unique Medicaid enrollees served annually by 220,665 clinicians across 40 states. We defined major increases or decreases as changes exceeding 90% of baseline enrollee volume and examined associations with clinician, practice, and state-level characteristics. The results show that while about 60% of clinicians maintained stable enrollee volumes, nearly 20% experienced substantial increases

SUBMITTER: Bodas M 

PROVIDER: S-EPMC12470067 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature