The central reason why patients don't have access to primary care in Medicaid is because of low reimbursement. In most states, Medicaid reimbursement is way below "break even" and if practices will go bankrupt if their patient panel is made up of majority Medicaid patients.
The challenge with paying for Direct Primary Care (DPC) is the same as paying for RVU based reimbursement. Eventually the rates will get ratcheted down to below "break even." Back to square one!
A much "simpler" fix is increasing PCP reimbursement in Medicaid. This will make it "profitable" to see Medicaid patients in the office.
Next up - we need more PCPs. But that is also a reimbursement issue 🤔
The central reason why patients don't have access to primary care in Medicaid is because of low reimbursement. In most states, Medicaid reimbursement is way below "break even" and if practices will go bankrupt if their patient panel is made up of majority Medicaid patients.
The challenge with paying for Direct Primary Care (DPC) is the same as paying for RVU based reimbursement. Eventually the rates will get ratcheted down to below "break even." Back to square one!
A much "simpler" fix is increasing PCP reimbursement in Medicaid. This will make it "profitable" to see Medicaid patients in the office.
Next up - we need more PCPs. But that is also a reimbursement issue 🤔