Medicare Payment Adequacy

How do policymakers  determine if Medicare payment levels are adequate?  The Medicare Payment Advisory Commission (MedPAC) uses the following criteria: Access to care determined by the number of providers and volume of services. Quality of care Provider access to capital Provider margins. Although these measures do provide valuable information, they are far from perfect.  Access…

Trends in Medi-Cal Reimbursement

Medicaid provides a safety net for the poorest Americans.  Although eligibility criteria vary from state to state, the health service Medicaid provides are often life saving.  One of the main problems Medicaid beneficiaries experience, however, is access to care.  Many physicians do not accept Medicaid because the reimbursement rates are much lower than those paid…