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Inquiry J Health Car · Apr 2005
State payment limitations on Medicare cost-sharing: impact on dually eligible beneficiaries.
- Janet B Mitchell and Susan G Haber.
- Division for Health Services and Social Policy Research, RTI International, 411 Waverley Oakes Road, Suite 330, Waltham, MA 02452-8414, USA. jmitchell@rti.org
- Inquiry J Health Car. 2005 Apr 19;41(4):391-400.
AbstractThe Balanced Budget Act (BBA) of 1997 allowed states to limit how much their Medicaid programs contributed toward the Medicare cost-sharing liability of dually eligible beneficiaries. Policymakers have grown concerned that such limitations may affect access to care for these beneficiaries. We used a quasi-experimental design to analyze changes in access from 1996 to 1998, using Medicare and Medicaid data from nine states. Cost-sharing payments fell in six of the nine states following the BBA, and access to outpatient physician visits for dually eligible beneficiaries was reduced relative to non-dually eligible beneficiaries in those states.
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