Med­ic­aid rate in­creases for providers are com­ing next year

Modern Healthcare - - Late News - —Virgil Dickson

Providers across the coun­try can ex­pect to score higher Med­ic­aid re­im­burse­ment next year, but in­pa­tient ser­vices at hos­pi­tals may face cuts or a rate freeze, ac­cord­ing to a state Med­ic­aid sur­vey re­leased last week.

Forty-seven states plan to of­fer at least one provider type a rate in­crease in fis­cal 2019, the Kaiser Fam­ily Foun- da­tion sur­vey showed.

That could in­clude pri­mary-care doc­tors, spe­cial­ists, home-care aides or nurs­ing homes. While at least one provider type in 31 states can ex­pect a rate de­crease, that’s the small­est num­ber of rate re­stric­tions since fis­cal 2008.

Specif­i­cally, 12 states in­clud­ing Cal­i­for­nia and Ken­tucky said they plan to in­crease rates for pri­mary-care doc­tors. An­other 14 plan to of­fer spe­cial­ists higher re­im­burse­ment, and 21 will do so for out­pa­tient ser­vices at hos­pi­tals.

On the flip side, 27 states in­clud­ing Florida and Texas said they plan to cut or freeze rates for in­pa­tient ser­vices in hos­pi­tals, ac­cord­ing to the sur­vey.

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