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Medicaid SpendingState Medicaid SpendingTemporary Federal Medicaid ReliefMedicaid Budget ActionsMedicare Drug Benefit: Clawback PaymentsMedicaid Physician FeesMedicaid EnrollmentChildren's Medicaid and CHIP EligibilityMedicaid/CHIP EligibilitySSI BeneficiariesMedicaid Medically NeedyMedicaid Managed CareBirths Financed by MedicaidEnrollment Practices for Pregnant WomenEnrollment Practices for ChildrenRenewal Practices for ChildrenCHIPHome and Community-Based ServicesHealth Care FraudCumulative Percentage Change in Medicaid Fees, by Type of Service, 2003-2008
| All Services | Primary Care | Obstetric Care | Other Services | |
|---|---|---|---|---|
| United States | 15.1% | 20.0% | 8.8% | 8.7% |
| Alabama | 3.9% | 7.1% | 0.0% | 1.0% |
| Alaska | 2.5% | 6.9% | -5.3% | 1.2% |
| Arizona | 9.0% | 7.8% | 10.3% | 10.4% |
| Arkansas | 4.5% | -4.6% | 20.5% | 7.8% |
| California | 2.0% | 3.0% | 0.0% | 1.3% |
| Colorado | 28.7% | 45.5% | 3.4% | 17.5% |
| Connecticut | 28.0% | 22.9% | 52.1% | 11.4% |
| Delaware | 10.5% | 13.0% | 2.3% | 10.0% |
| District of Columbia | 36.3% | 58.2% | 0.0% | 27.2% |
| Florida | 4.6% | 3.6% | 0.7% | 9.6% |
| Georgia | 28.0% | 50.8% | 2.2% | 2.1% |
| Hawaii | 4.7% | 0.4% | 10.2% | 9.0% |
| Idaho | 24.6% | 35.7% | 7.0% | 19.0% |
| Illinois | 11.5% | 19.5% | 0.0% | -0.1% |
| Indiana | 9.8% | 15.4% | 0.0% | 2.5% |
| Iowa | 7.1% | 7.2% | 7.2% | 6.8% |
| Kansas | 44.3% | 80.3% | 1.0% | 12.4% |
| Kentucky | 28.3% | 47.0% | 0.0% | 2.3% |
| Louisiana | 40.9% | 49.9% | 6.7% | 36.2% |
| Maine | 9.2% | 16.0% | 0.0% | 0.2% |
| Maryland | 31.1% | 35.9% | 5.7% | 36.8% |
| Massachusetts | 21.2% | 20.2% | 19.1% | 26.1% |
| Michigan | 6.7% | 0.6% | 27.1% | -3.6% |
| Minnesota | -0.5% | 0.0% | 0.0% | -2.3% |
| Mississippi | 5.8% | 7.6% | 9.0% | 0.6% |
| Missouri | 57.9% | 64.3% | 10.0% | 86.1% |
| Montana | 35.8% | 48.5% | 28.0% | 13.1% |
| Nebraska | 18.2% | 22.1% | 28.9% | -4.0% |
| Nevada | 22.8% | 48.9% | -0.9% | -12.0% |
| New Hampshire | 11.1% | 15.5% | 0.0% | 13.8% |
| New Jersey | 17.6% | 36.1% | 0.0% | -6.0% |
| New Mexico | 24.7% | 21.1% | 38.5% | 16.5% |
| New York | 0.0% | 0.0% | 0.0% | 0.0% |
| North Carolina | 7.7% | 13.0% | -3.7% | 8.4% |
| North Dakota | 21.9% | 26.6% | 6.1% | 21.4% |
| Ohio | 15.9% | 13.6% | 6.8% | 28.4% |
| Oklahoma | 58.9% | 79.9% | 26.3% | 47.3% |
| Oregon | 13.7% | 17.8% | 9.2% | 9.3% |
| Pennsylvania | 63.0% | 83.9% | 103.1% | -8.2% |
| Rhode Island | 11.1% | 22.2% | 0.0% | -2.3% |
| South Carolina | 28.4% | 32.3% | 0.0% | 27.2% |
| South Dakota | 31.9% | 45.4% | 28.2% | 2.4% |
| Tennessee | NA | NA | NA | NA |
| Texas | 19.6% | 26.2% | 6.8% | 7.9% |
| Utah | 22.7% | 31.4% | 16.8% | 8.8% |
| Vermont | 32.9% | 63.3% | -10.0% | 11.0% |
| Virginia | 31.0% | 38.8% | 26.7% | 17.1% |
| Washington | 18.4% | 32.1% | 0.5% | 6.0% |
| West Virginia | 4.9% | 6.7% | 7.5% | -1.1% |
| Wisconsin | 0.8% | 2.5% | 0.0% | -2.2% |
| Wyoming | 49.4% | 36.0% | 99.8% | 21.5% |
| Notes: | The data are based on physician fee surveys sent by The Urban Institute to the forty-nine states and the District of Columbia that have a fee-for-service (FFS) component in their Medicaid programs (only Tennessee does not). The Urban Institute derived a Medicaid fee change index to capture fee changes under FFS Medicaid between 2003 and 2008. This index is the weighted sum of the ratios of each service's fee in 2008 to that same service fee in 2003, using the 2000 expenditure weights as in the Medicaid fee index. Because data were available on fewer services and states in 2003 than in 2008, the fee change index was based on a subset of the services and states used in the fee index. |
| Sources: | Stephen Zuckerman, Aimee Williams, and Karen Stockley, "Medicaid Physician Fees Grew By More Than 15 Percent From 2003 to 2008, Narrowing Gap With Medicare Physician Payment Rates," Health Affairs, April 2009; available at http://www.kff.org/medicaid/kcmu042809oth.cfm. |
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