{"id":145157,"date":"2010-01-06T10:29:25","date_gmt":"2010-01-06T15:29:25","guid":{"rendered":"http:\/\/blogs.wsj.com\/health\/2010\/01\/06\/should-medicaid-pay-more-for-primary-care\/"},"modified":"2010-01-06T10:29:25","modified_gmt":"2010-01-06T15:29:25","slug":"should-medicaid-pay-more-for-primary-care","status":"publish","type":"post","link":"https:\/\/mereja.media\/index\/145157","title":{"rendered":"Should Medicaid Pay More for Primary Care?"},"content":{"rendered":"<p><img decoding=\"async\" src=\"http:\/\/online.wsj.com\/media\/stethoscope_D_20091012174045.jpg\" alt=\"Stethoscope\" align=\"right\"\/>The health-care bills passed by both the House and the Senate would both expand Medicaid, the government insurance program for the poor. One important difference between the bills: The House version would significantly boost Medicaid payments to primary-care docs, while the Senate bill would not.<\/p>\n<p>This difference &#8212; highlighted in this <a href=\"http:\/\/www.tnr.com\/article\/health-care\/the-house?page=0,1\" >New Republic piece<\/a> &#8212; isn&#8217;t on the <a href=\"http:\/\/blogs.wsj.com\/health\/2010\/01\/05\/breaks-over-back-to-health-care-policy\/\" >short list<\/a> of things everybody&#8217;s talking about as the Senate and House hash out a final bill. But it&#8217;s important for people with Medicaid and the doctors who treat them, as well as for the taxpayers who would have to fund higher Medicaid payments.<\/p>\n<p>Medicaid typically pays significantly less than Medicare, which in turn tends to pay less than private insurance. As a result, lots of docs say they lose money when they treat Medicaid patients, and <a href=\"http:\/\/blogs.wsj.com\/health\/2008\/11\/18\/payment-hassles-not-just-stinginess-turn-doctors-off-medicaid\/\" >limit the number of Medicaid patients<\/a> in their practice or refuse to take Medicaid altogether. That can make it tough for people with Medicaid to find care.<\/p>\n<p>So on the one hand, the benefits of expanding Medicaid coverage to more people would be significantly diminished if those people couldn&#8217;t find a primary care doctor. On the other hand, bringing Medicaid payments for primary care up to parity with Medicare payments for the same services would cost $57 billion over 10 years, <a href=\"http:\/\/www.cbo.gov\/ftpdocs\/106xx\/doc10688\/hr3962Rangel.pdf\" >according to the CBO<\/a>.<\/p>\n<p><strong>Health Blog Questions of the Day<\/strong>: Should Congress increase Medicaid payments for primary care? If so, where should the money come from?<\/p>\n<p><em>Image: iStockphoto<\/em><\/p>\n<p><a href=\"http:\/\/feedads.g.doubleclick.net\/~at\/i9J7jDVSoXdyovAHdrUUE-rmY_U\/0\/da\"><img decoding=\"async\" src=\"http:\/\/feedads.g.doubleclick.net\/~at\/i9J7jDVSoXdyovAHdrUUE-rmY_U\/0\/di\" border=\"0\" ismap=\"true\"><\/img><\/a><br \/>\n<a href=\"http:\/\/feedads.g.doubleclick.net\/~at\/i9J7jDVSoXdyovAHdrUUE-rmY_U\/1\/da\"><img decoding=\"async\" src=\"http:\/\/feedads.g.doubleclick.net\/~at\/i9J7jDVSoXdyovAHdrUUE-rmY_U\/1\/di\" border=\"0\" ismap=\"true\"><\/img><\/a><\/p>\n<div class=\"feedflare\">\n<a href=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?a=JthsdzjBNqI:L2JNcZHHrxg:yIl2AUoC8zA\"><img decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?d=yIl2AUoC8zA\" border=\"0\"><\/img><\/a> <a href=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?a=JthsdzjBNqI:L2JNcZHHrxg:D7DqB2pKExk\"><img decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?i=JthsdzjBNqI:L2JNcZHHrxg:D7DqB2pKExk\" border=\"0\"><\/img><\/a> <a href=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?a=JthsdzjBNqI:L2JNcZHHrxg:F7zBnMyn0Lo\"><img decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?i=JthsdzjBNqI:L2JNcZHHrxg:F7zBnMyn0Lo\" border=\"0\"><\/img><\/a> <a href=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?a=JthsdzjBNqI:L2JNcZHHrxg:V_sGLiPBpWU\"><img decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?i=JthsdzjBNqI:L2JNcZHHrxg:V_sGLiPBpWU\" border=\"0\"><\/img><\/a> <a href=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?a=JthsdzjBNqI:L2JNcZHHrxg:qj6IDK7rITs\"><img decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~ff\/wsj\/health\/feed?d=qj6IDK7rITs\" border=\"0\"><\/img><\/a>\n<\/div>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/feeds.feedburner.com\/~r\/wsj\/health\/feed\/~4\/JthsdzjBNqI\" height=\"1\" width=\"1\"\/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The health-care bills passed by both the House and the Senate would both expand Medicaid, the government insurance program for the poor. One important difference between the bills: The House version would significantly boost Medicaid payments to primary-care docs, while the Senate bill would not. This difference &#8212; highlighted in this New Republic piece &#8212; [&hellip;]<\/p>\n","protected":false},"author":650,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-145157","post","type-post","status-publish","format-standard","hentry","category-news"],"_links":{"self":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/145157","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/users\/650"}],"replies":[{"embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/comments?post=145157"}],"version-history":[{"count":0,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/posts\/145157\/revisions"}],"wp:attachment":[{"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/media?parent=145157"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/categories?post=145157"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mereja.media\/index\/wp-json\/wp\/v2\/tags?post=145157"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}