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
DOI
10.1177/1077558717697750