Access to Care for Medicare-Medicaid Dually Eligible Beneficiaries: The Role of State Medicaid Payment Policies.

ABSTRACT:

Study objectives

Medicaid programs are not required to pay the full Medicare coinsurance and deductibles for Medicare-Medicaid dually eligible beneficiaries. We examined the association between the percentage of Medicare cost sharing paid by Medicaid and the likelihood that a dually eligible beneficiary used evaluation and management (E&M) services and safety net provider services.

Data sources

Medicare and Medicaid Analytic eXtract enrollment and claims data for 2009.

Study design

Multivariate analyses used fee-for-service dually eligible and Medicare-only beneficiaries in 20 states. A comparison group of Medicare-only beneficiaries controlled for state factors that might influence utilization.

Principal findings

Paying 100 percent of the Medicare cost sharing

SUBMITTER: Zheng NT 

PROVIDER: S-EPMC5682139 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature