This blog has many entries discussing how few doctors participate in Medicaid, the joint state-federal healthcare program for low-income people that ObamaCare expands. One reason is that fees are too low to induce doctors to participate. But even if doctors are willing to accept low fees, they find that Medicaid is the worst payer in their practices:
- Medicaid programs have the highest number of days to collect payment (days accounts receivable): All payer average = 26 days; Medicaid average = 44 days.
- Medicaid programs have the highest denial rate: All Payer average = 6.8%; Medicaid average = 18.5%.
- Medicaid programs have the lowest transparency in electronic explanation of payment and adjudication of claims (electronic remittance advice): All Payer average = 95%, Medicaid average = 89.4%.
And even if a physician does want to enroll in Medicaid, it is often very burdensome to do so:
- Nearly half of Medicaid programs require enrollment for electronic data interchange (EDI) (10 of 21).
- Medicaid programs require a signature more frequently than the average payer.
- 38% of Medicaid enrollments require paper forms that must be mailed in.
National commercial payers have the least burdensome enrollment requirements.
- None require enrollments for EDI
- None require enrollment on paper forms sent through the mail