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Cost-Sharing and Prior Authorization Effects on Medicaid Services in CaliforniaPart II: The Providers' Reactions

 

作者: Carl Hopkins,   Milton Roemer,   Donald Procter,   Foline Gartside,   James Lubitz,   Gerald Gardner,   Marc Moser,  

 

期刊: Medical Care  (OVID Available online 1975)
卷期: Volume 13, issue 8  

页码: 643-647

 

ISSN:0025-7079

 

年代: 1975

 

出版商: OVID

 

数据来源: OVID

 

摘要:

Providers for California's Medicaid program were interviewed to determine their reaction to the copayment experiment. Private physicians, pharmacists, and nursing homes routinely collected the copayments and thought it was not a particular hardship on the patients. Hospital outpatient departments often did not collect. Physicians both in hospitals and in private practice generally did not know which patients were copayers and hence copayment had no effect on their practice. Pharmacists reported some delay and some selectivity on the part of patients in the filling of their prescriptions. All providers felt much more harassment and interference from the concurrent prior authorization requirements. This effect may have swamped copayment effects.

 

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