why do some doctors not accept medicaid

To find a doctor that accepts Medicare payments, you may want to visit the Centers for Medicare and Medicaid Services'P. You can search by entering a health care professionals last name or group practice name, a medical specialty, a medical condition, a body part, or an organ system. This tool will provide you with a list of professionals or group practices in the specialty and geographic area you specify, along with detailed profiles, maps and driving directions. Please note that Physician Compare only lists professionals that accept Medicare. Although some may also accept Medicaid, it does not have information about which professionals do accept Medicaid. Medicaid programs vary by state and each state Medicaid agency maintains their own list of professionals that accept Medicaid.


For further assistance, please contact your health plan or state Medicaid agency. For more information about Medicaid, visit the
on Healthcare. gov. If you have trouble accessing the Physician Compare website, please callP1-800-MEDICARE and a representative will be able to run the search for you. They can also send you a print version of the search results. There are on MedlinePlus that will help you find health professionals, services, and facilities, some of whichP serve MedicarePor Medicaid payments. P Medicaid pays poorly only reimbursing doctors about half what private insurers pay for the same service.


Over the years I ve talked to many physicians at conferences who ve told me they feel it is their charitable / humanitarian duty to see some Medicaid and indigent-care patients. But they also report they cannot keep their practice open just treating Medicaid enrollees (or Medicare beneficiaries for that matter). The argue the government cannot expect them to shoulder the burden for all low-income patients who need care. As eligibility has ratcheted up, and more Medicaid enrollees call for appointments, doctors are becoming increasingly wary. Treating a few truly needy patients make doctors feel good.


Being inundated by patients who are less-needy makes doctors feel overwhelmed and like they are being taken advantage of (both by the patient and the government). This is just one anecdote and should not be given the weight of empirical data, but it s representative of anecdotes I ve heard numerous times. At a conference I had a OB/GYN relay a story to me about being told his uninsured patient didn t have any money to pay for prenatal care, labor and delivery. (We didn t discuss this but that presumably meant the mother would qualify for emergency Medicaid). When the day arrived and the mother-to-be went into labor, her family showed up in customized, late-model pickup trucks, the men wearing ostrich skin boots and gold jewelry, with video cameras in hand.


This doctor told me that later when he left the hospital at the end of the day he walked to his used small foreign car that was not nearly as expensive as the cars and trucks owned by the family members of the woman whose baby he just delivered. He felt like he had been taken advantage of. That was the most extreme example he had, but it said less egregious examples occurred on a regular basis. As more and more people are enrolled in Medicaid, doctors will stop thinking that treating Medicaid enrollees is their charitable mission and will balk.

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