Practice Notes

How you can strengthen ambulatory care access for Medicaid patients

by Hamza Hasan and Sarah O'Hara

The Medicaid population presents a challenge for many health care providers: Not only is Medicaid poorly reimbursed, but high patient complexity—both clinical and non-clinical—can make care frustrating. As a result, an increasing number of independent practices have closed their doors to this population.

Learn 3 strategies for improving Medicaid patient access to physician services

Most employed medical groups can't do the same. Their parent health systems often have a cultural (and tax status-required) commitment to serve the entire community. More practically, turning Medicaid patients away from ambulatory care increases the risk that they will use the emergency department (ED) instead, driving up health system costs.

So, employed medical groups must instead find ways to strengthen access to ambulatory services for Medicaid patients—without crowding out other populations. Our research finds they have three options for doing so, though they are not mutually exclusive and are often used in combination.

Option 1: Partner with existing community clinics

Depending on market dynamics, the most effective way to provide ambulatory access to Medicaid patients may be to partner with someone else in the community who already serves that population, such as a federally qualified health center (FQHC).

However, medical groups should recognize that partnership does not simply mean diverting patients. Rather, effective partnerships include direct and indirect support for the community clinic's activities, as well as strategies to aid expansion of specialty care capabilities that community clinics often lack.

Option 2: Establish own Medicaid-focused clinic

Diverting patients to a community-based provider may not be feasible if there isn't a good partner in the market. In that case, some health systems have chosen to create their own Medicaid-focused primary care clinics.

However, because regulatory restrictions generally prevent hospitals from operating FQHCs, such clinics do not qualify for enhanced Medicaid reimbursement. So, before taking this step, health systems and medical groups should carefully consider the economic realities of this investment. Many who choose to invest in Medicaid clinics do so primarily to reduce unnecessary ED costs.

Option 3: Bolster Medicaid access across existing practices

Finally, medical groups will likely find that even if they use the above options, geographic realities, patient preferences, or other market-specific factors mean they are still treating at least some Medicaid patients within their existing physician practices. To ease access difficulties in doing so, some medical groups choose to mandate minimum Medicaid panel sizes for PCPs. Taking steps to reduce no-show rates is also particularly important for this population.


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5 myths physicians believe about patient experience

5 myths physicians believe about patient experience

Excellent patient experience is a critical piece of modern medicine, reflected clearly in outcomes. And more than amenities, clean rooms, or quiet during night, the factors that most inflect patient experience all relate to communication and coordination among the care team—factors that physicians are in a unique position to influence.

Clinician-patient communication, leadership of the care team, and support and empathy for the patient across the unit are the most important factors for success, and they're all driven by the physician as the "Influencer in Chief."

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