Revenue Cycle Management Blog | GroupOne Health Source

Cuts in Medicaid Pay to Physicians by State

Written by Kaitlyn Houseman | November 11, 2011

According to a report released by the Kaiser Commission on Medicaid and the Uninsured, almost every state is cutting costs related to Medicaid.  Many states are implementing cost-cutting initiatives, such as restricting Medicaid benefits, implementing new and higher copayments for beneficiaries, and/or enacting provider rate restrictions. In fact, since July 1, 2010, 22 states have already slashed physician pay rates.

Alaska is the only state to increase Medicaid pay rates for both primary-care physicians and specialists in fiscal year 2012.

Arizona, California, Colorado, Maryland, or South Carolina cut Medicaid pay to both primary-care physicians and specialists in both fiscal years 2011 and 2012.

More of the findings for the report:

Primary-Care Physicians
• In fiscal year 2011, five states increased Medicaid primary-care physician pay: Kansas, Mississippi, Nebraska, North Dakota, and Washington.
• In fiscal year 2011, 10 states (and the District of Columbia) cut Medicaid pay to primary-care physicians: Missouri, New York, Texas, Virginia, Wisconsin, Arizona, California, Colorado, Maryland, and South Carolina.
• In fiscal year 2012, 10 states cut Medicaid pay to primary-care physicians: Georgia, Ohio, South Dakota, Washington, Arizona, California, Colorado, Maryland, and South Carolina.
• Five states cut Medicaid pay to primary-care physicians in both fiscal years 2011 and 2012: Arizona, California, Colorado, Maryland, and South Carolina.



 

 

 

 

Specialists:
• In fiscal year 2011, 13 states (and the District of Columbia) cut pay to specialists: Minnesota, North Dakota, New York, Texas, Virginia, Wisconsin, Arizona, California, Colorado, Connecticut, Maryland, South Carolina, and Washington.
• Five states increased pay in fiscal year 2011: Kansas, Louisiana, Mississippi, Nebraska, and North Dakota.
• In fiscal year 2012, 14 states cut pay to specialists: Georgia, Nebraska, North Carolina, Ohio, Oregon, South Dakota, Tennessee, Arizona, California, Colorado, Connecticut, Maryland, South Carolina, and Washington.
• Seven states cut pay in both fiscal years 2011 and 2012: Arizona, California, Colorado, Connecticut, Maryland, South Carolina, and Washington.

Seeking Additional Revenue? Utilize a Medical Billing Firm