healt h care a na ly t i c s
new enrollees were uninsured or underinsured earlier, causing high emergency
room and hospitalization costs. According
to projections, more than 15 million eligible
people for Medicaid in participating states
have joined the expansion program.
While the expansion brought in new federal dollars to the respective state coffers
in support of the safety net expansion, the
key issue is that the growth in demand is not
aptly matched by timely capacity expansion.
An imminent scarcity of primary care providers in many states poses problems for the
Analytics_AD_INFORMS.ai 1 8/12/2014 9:15:05 AM
proposed expansion. Even when physicians
are available, competition from for-profit organizations makes them unaffordable to the
not-for-profit health centers and hospitals.
Additionally, Medicaid reimbursement rates
are much lower than commercial plans, so
specialists are not always willing to accept
Medicaid patients. This creates issues for
not-for-profit health plans in terms of maintaining a comprehensive provider network
to address gaps in the patient care. ACA
has some provisions to address the reimbursement issue, but is that enough?
C
M
Y
THE COMPETITIVE
ADVANTAGE DEGREE
CM
MY
CY
Steve B.
Class of ‘15
CMY
K
MASTERS OF SCIENCE ANALYTICS
AT HOUSTON CITYCENTRE OR VIA ONLINE
The Texas A&M program gives me the
curriculum I’m looking for, the flexibility to
participate remotely and a top-notch staff
of seasoned professors with loads of
practical experience beyond the university.
FOR MORE INFORMATION | analytics.tamu.edu
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