The Effect of Medicaid Payment Generosity on Access and Use among Beneficiaries
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Objective: This study examines the effects of Medicaid payment generosity on access and care for adult and child Medicaid beneficiaries. Data Source: Three years of the National Surveys of America's Families (1997, 1999, 2002) are linked to the Urban Institute Medicaid capitation rate surveys, the Area Resource File, and the American Hospital Association survey files. Study Design: In order to identify the effect of payment generosity apart from unmeasured differences across areas, we compare the experiences of Medicaid beneficiaries with groups that should not be affected by Medicaid payment policies. To assure that these groups are comparable to Medicaid beneficiaries, we reweight the data using propensity score methods. We use a difference-indifferences model to assess the effects of Medicaid payment generosity on four categories of access and use measures (continuity of care, preventive care, visits, and perceptions of provider communication and quality of care).
The article of record as published may be located at http://dx.doi.org/10.1111/j.1475-6773.2005.00382.x
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