Title: Payments for physician services: an analysis of Maryland Medicaid reimbursement rates

Authors: S. Hamid Fakhraei

Addresses: Center for Health Program Development and Management, University of Maryland, Baltimore County, 1000 Hilltop Circle, Baltimore, MD 21250, USA

Abstract: This paper describes the process of increasing reimbursement rates for physicians who provide services to Maryland Medicaid enrollees. It compares Maryland Medicaid reimbursement rates for physicians with Medicare fees in Maryland and Medicaid reimbursement rates of other states. It also provides an analysis of the impact of the increases in reimbursement rates on the participation of physicians in the Medicaid programme. Based on the analysis presented in this article, which targets the increase in reimbursement rates to evaluation and management procedures, the Maryland Government increased physician fees in the Medicaid programme beginning July 2002. Evaluation and management procedures are usually office visits provided by either a primary care physician or a specialist.

Keywords: medicaid; physician fees; reimbursement rates; doctor payments; USA; United States; healthcare evaluation; healthcare management.

DOI: 10.1504/IJHTM.2006.007876

International Journal of Healthcare Technology and Management, 2006 Vol.7 No.1/2, pp.129 - 142

Published online: 29 Sep 2005 *

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