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Physician Payment and Prenatal Care Access for Heterogeneous Patients

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  • Travis, Karen M

Abstract

Changes in prospective payments to reimburse physicians for serving Medicaid patients have been rising in many states. Policymakers anticipate that higher fees will increase access to services. This paper explores whether physicians respond to the increased payment by increasing access differentially by patient type. Physicians may gain from serving only those patients expected to be of low medical risk and cost. Empirical tests using Medicaid data from 1988 to 1991 for prenatal care provision in Washington State show fees are significant in improving access to care for the average patient with significantly greater improvement for Hispanics and single patients. Copyright 1999 by Oxford University Press.

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  • Travis, Karen M, 1999. "Physician Payment and Prenatal Care Access for Heterogeneous Patients," Economic Inquiry, Western Economic Association International, vol. 37(1), pages 86-102, January.
    • Handle: RePEc:oup:ecinqu:v:37:y:1999:i:1:p:86-102
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    Cited by:

    1. Gray, Bradley, 2001. "Do Medicaid physician fees for prenatal services affect birth outcomes?," Journal of Health Economics, Elsevier, vol. 20(4), pages 571-590, July.
    2. Michio Yuda, 2018. "The medical assistance system and inpatient health care provision: Empirical evidence from short-term hospitalizations in Japan," PLOS ONE, Public Library of Science, vol. 13(10), pages 1-14, October.
    3. David Rudoler & Raisa Deber & Janet Barnsley & Richard H. Glazier & Adrian Rohit Dass & Audrey Laporte, 2015. "Paying for Primary Care: The Factors Associated with Physician Self‐selection into Payment Models," Health Economics, John Wiley & Sons, Ltd., vol. 24(9), pages 1229-1242, September.
    4. Hart Hodges & Steven Henson, 2009. "Medical Reimbursements and Patient Selection by Physicians: A Capital-Theoretic Approach," Atlantic Economic Journal, Springer;International Atlantic Economic Society, vol. 37(4), pages 397-408, December.

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