SynthesisJournal of general internal medicine2019
The Impact of Changes in Medicaid Provider Fees on Provider Participation and Enrollees' Care: a Systematic Literature Review.
Synthesis in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A Systematic Review of Help-Seeking Barriers for Racial-Ethnic Minority Caregivers Accessing Autism Diagnostic and Intervention Services.Journal of racial and ethnic health disparities · 2026Pooled it
- Disparities in Access to Deep Brain Stimulation for Parkinson's Disease and Proposed Interventions: A Literature Review.Stereotactic and functional neurosurgery · 2024Pooled it
- Primary care workforce structural inertia and Medicaid participation during the COVID-19 pandemic, 2020-2021.Health affairs scholar · 2026Article
- Variation in time to payment in Medicaid managed care: evidence from national TAF data, 2022.Health affairs scholar · 2026Article
- Number Of States Providing Medicaid Hearing Aid Coverage For Adults Increased; Variability Was Substantive, 2017-23.Health affairs (Project Hope) · 2025Article
- Estimating Medicaid Reimbursement For Psychological Services.Health affairs (Project Hope) · 2025Article
- Payments to Physician Practices and Incentives to Serve Different Racial and Ethnic Groups.JAMA health forum · 2025Observational
- Hepatitis C Care in the Greater New Orleans Area: Patient Perspectives on the Barriers and Facilitators to Care.Journal of health care for the poor and underserved · 2025Article
- Did Medicaid Reimbursements Shape the Effects of Medicaid Expansion on Access to Health Care Among the Low-Income Population?Journal of general internal medicine · 2024Article
- The Impact of the Medicaid Reimbursement Bump on Influenza Vaccination Rates Among US Teens: Evidence from the National Immunization Survey-Teen 2011-2020.Journal of the American Board of Family Medicine : JABFM · 2024Article
- Policy solutions to eliminate racial and ethnic child health disparities in the USA.The Lancet. Child & adolescent health · 2024Review
- Medicaid physician fees and the use of primary care services: evidence from before and after the ACA fee bump.International journal of health economics and management · 2023Article
- Medicaid Reimbursement For Psychiatric Services: Comparisons Across States And With Medicare.Health affairs (Project Hope) · 2023Article
- Medicaid Payment and Fluoride Varnish Application During Pediatric Medical Visits.Medical care research and review : MCRR · 2022Article
- Variation in prices for an evidence-based pediatric preventive service.Health services research · 2022Article
- Outcomes Associated With State Policies Enabling Provision of Oral Health Services in Medical Offices Among Medicaid-enrolled Children.Medical care · 2021Article
- Assessment of the Patient Protection and Affordable Care Act's Increase in Fees for Primary Care and Access to Care for Dual-Eligible Beneficiaries.JAMA network open · 2021Article
- Avoiding Medicaid: Characteristics Of Primary Care Practices With No Medicaid Revenue.Health affairs (Project Hope) · 2021Article
- Financing Diabetes Care in the U.S. Health System: Payment Innovations for Addressing the Medical and Social Determinants of Health.Current diabetes reports · 2019Review
- Association Between the Declining Conversion Factor and Access to Care for Medicare Beneficiaries.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
backgroundChanging Medicaid fees is a common approach for states to address budget fluctuations, and many currently set Medicaid physician fees at levels lower than Medicare and private insurers. The Affordable Care Act included a temporary Medicaid fee bump for primary care providers (PCPs) in 2013-2014 that recently led to both an increase and then subsequent decrease in PCP fees in many states.
objectiveTo conduct a systematic literature review on the effects of changing Medicaid fees on provider participation and enrollees' access to care and service use.
methodsWe searched PubMed/Medline and JSTOR and identified 18 studies that assessed the longitudinal impact of provider fee changes in Medicaid on the outcomes of interest. We summarized information on study design, methods, and findings.
resultsSeven studies examined the impact of fee changes on provider participation in Medicaid. Of these, three studies found that fee increases were associated with positive effects on providers' likelihood of accepting Medicaid patients or on their Medicaid caseloads. Five studies that examined the impact of fee changes on Medicaid enrollees' access to care found a positive association with one or more access measure, such as having a usual source of care or appointment availability. Lastly, eight of 14 studies that examined service use found positive associations between fee changes and at least one measure of use, such as changes in the probability of enrollees having any visit, the number of visits, and shifts in the site of care toward office-based care; others largely did not find significant associations.
conclusionsThere is mixed evidence on the impact of changing Medicaid fees on provider participation and enrollees' service use; however, increasing fees appears to have more consistent positive effects on access to care. Whether these improvements in access translate into better health outcomes or downstream cost savings are critical questions.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.