Geographic Variation in Medicaid Acceptance Across Michigan Primary Care Practices in the Era of the Affordable Care Act.

Publication Date

2018

Journal Title

Med Care Res Rev

Abstract

Coverage and access have improved under the Affordable Care Act, yet it is unclear whether recent gains have reached those regions within states that were most in need of improved access to care. We examined geographic variation in Medicaid acceptance among Michigan primary care practices before and after Medicaid expansion in the state, using data from a simulated patient study of primary care practices. We used logistic regression analysis with time indicators to assess regional changes in Medicaid acceptance over time. Geographic regions with lower baseline (

Volume Number

75

Issue Number

5

Pages

633-650

Document Type

Article

Status

Faculty

Facility

School of Medicine

Primary Department

Emergency Medicine

Additional Departments

Psychiatry

PMID

29148335

DOI

10.1177/1077558717697750

For the public and Northwell Health campuses

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