New evidence of state variation in Medicaid payment policies for dual Medicare-Medicaid enrollees.

ABSTRACT:

Objective

To develop the first longitudinal database of state Medicaid policies for paying the cost sharing in Medicare Part B for services provided to dual Medicare-Medicaid enrollees ("duals") and an index summarizing the impact of these policies on payments for physician office services.

Data sources

Medicaid policy data collected from electronic sources and inquiries with states.

Study design

We constructed a national database of Medicaid payment policies for the period 2004-2018, consolidating information from online Medicaid policy documents, state laws, and policy data reported to us by state Medicaid programs. Using this database and state Medicaid fee schedules, we constructed a Medicaid payment index for duals. This index represented the proportion of the Me

SUBMITTER: Roberts ET 

PROVIDER: S-EPMC7518808 | biostudies-literature | 2020 Oct

REPOSITORIES: biostudies-literature