Have New Medicaid Policies Improved Access to PCP?

Friday, March 20, 2015

In congruence to the Affordable Care Act (ACA), Medicaid insurance is expanding patient eligibility to provide more care to previously uninsured Americans. Easier access to medical insurance means more patient influx to primary care physician’s offices. To support this movement, the ACA has mandated a higher Medicaid fee for evaluation, management, and vaccination services. The associate director of the Kaiser Family Foundation’s Kaiser Commission on Medicaid and the Uninsured, Julia Paradise, sat down with the American Academy of Family Physicians to answer questions about the efficacy of this new order.

At Arizona Priority Care, we aim to bring physicians together from neighboring Arizona communities to provide better care to patients. As a primary care physician group, we understand the inevitable changes that have come since the implementation of the Affordable Care Act. In order to answer questions and be the best resource to physicians and patients, Arizona Priority Care aims to provide the latest news and information on medical practices.

Question 1: Medicaid has a low payment rate, resulting in the inability to cover the cost of doctor visits. How has the ACA changed this?

Answer: The ACA has strengthened support to primary care physicians by ordering Medicaid plans “to pass the full increase through to their primary care physicians.”

Question 2: Which states have the lowest Medicaid reimbursement rates?

Answer: Physician services usually require Medicaid to pay an average of 66 percent of Medicare fee levels. Rhode Island, California, Michigan, New York, New Jersey, and Florid pay less than 50 percent of Medicare fees.

Question 3: Is there a way to offset budget deficits from Medicaid by creating a permanent funding source?

Answer: Yes, The ACA has established a payment parity provision that Congress could continue to pay, and would flow automatically from the new statutory provision.

Question 4: What is the public perception of Medicaid and is it changing?

Answer: Paradise says, “Eight out of 10 Americans said that if they were uninsured, needed health care, and qualified for Medicaid, they would enroll in the program themselves.”

To read the full article and conversation, please visit
Talk to an Arizona Priority Care physician today to learn more about changes and how you are affected by the ACA implementation.

For more information, contact Arizona Priority Care directly at (855) 711-2912.

The advice and information contained in this article is for educational purposes only, and is not intended to replace or counter a physician’s advice or judgment. Please always consult your physician before taking any advice learned here or in any other educational medical material.

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