Evidence map›Paper›PMID 35640053›Full record

ArticleMedical care2022

Effects of the Affordable Care Act Medicaid Expansion on the Compensation of New Primary Care Physicians.

Yanlei Ma, David Armstrong, Gaetano J Forte, Hao Yu

Open access · greenAbstract read
In one paragraph

Article in Medical care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 13% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Yanlei MaDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA.
David ArmstrongCenter for Health Workforce Studies, School of Public Health, University at Albany, SUNY, Rensselaer, NY.
Gaetano J ForteCenter for Health Workforce Studies, School of Public Health, University at Albany, SUNY, Rensselaer, NY.
Hao YuDepartment of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA.
University at Albany, State University of New York · USHarvard Pilgrim Health Care · USHarvard University · US

Funding

Impact of the National Health Service Corps on Health DisparitiesR01MD013736 · NIMHD · HARVARD PILGRIM HEALTH CARE, INC. · PI YU, HAO · 2020 to 2023
$1.7M
Health Insurance Expansion and Physician DistributionR01HS025750 · AHRQ · RAND CORPORATION · PI ESCARCE, JOSE JULIO, HAN, BING · 2017 to 2019
$1.2M
AHRQ HHS R01 HS025750NIMHD NIH HHS R01 MD013736
6 · The paper itself

Abstract

backgroundIt is well-documented that the Affordable Care Act Medicaid expansion increased health care utilization by low-income Americans. Emerging studies also found that the expansion changed the geographical distribution of new physicians. However, the effect of the expansion on physician compensation has not been studied.

objectivesWe aimed to assess how the Medicaid expansion affected the compensation of new primary care physicians (PCPs) and whether the effect differed by specialty, gender, and geography. RESEARCH

designWe used a quasiexperimental difference-in-differences design to assess changes in compensation for new PCPs from before to after the Medicaid expansion in states that expanded Medicaid compared with states that did not expand. SUBJECTS: Our study included 2003 new PCPs who responded to the Survey of Residents Completing Training in New York between 2009 and 2018. MEASURES: Our primary outcome was respondents' self-reported starting salary for their first year of practice. Our secondary outcomes were respondents' self-reported additional anticipated income and incentives they received for accepting the job offer.

resultsWe found that starting salaries for new PCPs, especially new general internists and family physicians, grew faster in expansion states than in nonexpansion states. In addition, we found that the expansion was associated with a statistically significant increase in receiving additional anticipated income as part of the compensation package for new PCPs practicing in rural areas.

Indexed as

Patient Protection and Affordable Care ActPhysicians, Primary CareHealth Services AccessibilityHumansInsurance CoverageMedicaidPovertyUnited States

Identifiers

PMID35640053
PMCPMC9262825
OpenAlexW4282913150

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.