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Primary Care Appointments for Medicaid Beneficiaries With Advanced Practitioners

Authors
  • Leszinsky, Lena1
  • Candon, Molly1, 2, 3
  • 1 University of Pennsylvania, Philadelphia, Pennsylvania
  • 2 Leonard Davis Institute of Health Economics, Philadelphia, Pennsylvania
  • 3 Penn Center for Mental Health, Philadelphia, Pennsylvania
Type
Published Article
Journal
The Annals of Family Medicine
Publisher
Annals of Family Medicine
Publication Date
Jul 01, 2019
Volume
17
Issue
4
Pages
363–366
Identifiers
DOI: 10.1370/afm.2399
PMID: 31285214
PMCID: PMC6827647
Source
PubMed Central
Keywords
License
Unknown

Abstract

Primary care access in Medicaid improved after the Patient Protection and Affordable Care Act despite millions of new beneficiaries. One possible explanation is that practices are scheduling more appointments with advanced practitioners. To test this theory, we used data from a secret shopper study in which callers simulated new Medicaid patients and requested appointments with 3,742 randomly selected primary care practices in 10 states. Conditional on scheduling an appointment, simulated patients asked whether the practitioner was a physician or advanced practitioner. From 2012 through 2016, the proportion of appointments scheduled with advanced practitioners increased from 7.7% to 12.9% ( P <.001) across the 10 states.

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