Integrated models must ensure that the rates they pay network providers are high enough to create and maintain adequate and sustainable networks

This will likely mean in most cases basing provider payments on Medicare rates since experience shows that current Medicaid rates, in many cases have led to critical provider shortages.  A paper by United Health Center for Reform reported that approximately 49% of primary care physicians would be willing to increase their Medicaid patient roster if Medicaid reimbursement rated were matched to Medicare rates.

 

Comments are closed.