Noteworthy News

Progress Slow on Enhanced Primary Care Payments

States are having a difficult time making the enhanced Medicaid payments for primary care providers mandated by the Affordable Care Act.

According to MACPAC, the Medicaid and CHIP Payment and Access Commission, only four states were actually making the enhanced payments by late May.

Among the obstacles states are encountering are claims processing challenges; identifying providers eligible for the enhanced payments; and figuring out a way to increase payments to providers contracting with managed care plans.

The enhanced primary care payments are required under the Affordable Care Act for calendar years 2013 and 2014.  The purpose of the payments is to attempt to attract more primary care providers to participate in their state Medicaid programs at a time when a number of reform law provisions are expected to increase significantly Medicaid enrollment across the country.

MACPAC expressed these concerns in its June 2013 report to Congress.  Read about that report and find a direct link to it heremacpac, in this CQ HealthBeat article presented by the Commonwealth Fund.

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