Health Payer Intelligence March 4, 2021
OBGYN care for Medicaid members poses several challenges to providers, such as lower reimbursement rates and prior authorization for prescriptions.
Obstetrician-gynecologists (OBGYNs) experience reimbursement and referral challenges for care provided to Medicaid beneficiaries, according to a new nationally representative survey of OBGYNs conducted by the Kaiser Family Foundation (KFF).
Medicaid was accepted more often in community health centers and clinics compared to private practices (90%v. 77%). Additionally, the proportion of Medicaid beneficiaries who received care at community health centers was greater than the share of Medicaid members at private practices (46% v. 24%).
Providers at practices that accept Medicaid reported several limitations of this coverage plan. Almost half of providers surveyed noted that Medicaid reimbursement is much less (49%) or...
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