US physicians 16% less likely to accept new Medicaid patients than privately insured; Wide variation across CSG/ERC region

A new analysis by the Centers for Disease Control finds that 68.9% of US office-based physicians accepted new Medicaid patients in 2013, while 84.7% accepted privately insured patients. In CSG/ERC states that gap was lower at 13.4%, but there was wide variation between states. Delaware, Maine, New Hampshire, Pennsylvania and Vermont physicians were significantly more likely to accept new Medicaid patients than the US average. However physicians in New York and New Jersey were significantly less likely than the national average. At 38.7% acceptance, New Jersey physicians were the least likely in the US to make appointments for new Medicaid patients in 2013. Mirroring the national average, physicians in ERC states were about as likely to accept new Medicare patients as privately insured. While the Affordable Care Act paid states to increase Medicaid primary care payment rates to Medicare levels in 2013, some states had not implemented that increase in 2013. It will be interesting to see if acceptance rates are higher in the 2014 survey.

image002

Percentage (%)Privately InsuredMedicareMedicaid
Connecticut90.6 86.1 72.5
Delaware86.8 81.580.0
Massachusetts83.0 79.4 76.0
Maryland81.8 81.9 65.7
Maine85.8 84.9 79.8
New Hampshire91.8 94.5 88.2
New Jersey87.5 82.6 38.7
New York80.177.5 57.1
Pennsylvania89.8 90.5 81.0
Rhode Island78.0 87.1 71.0
Vermont85.6 84.0 83.2
ERC Average85.5 84.5 72.1
National84.7 83.7 68.9