Physicians’ reimbursement revenue was soft in 2014, but it looked firmer in states that rejected Patient Protection and Affordable Care Act (PPACA) Medicaid expansion money than in Medicaid-expansion states.
The analysts based the report on the records of 19,600 physicians who have been using the athenahealth system since before 2012. The PPACA public health insurance exchange and PPACA Medicaid expansion programs came to life in January 2014, and new PPACA major medical coverage underwriting and pricing rules took effect that month.
In non-expansion states, the revenue of the surgeons who use the athenahealth system increased 4 percent between 2013 and 2014. In Medicaid-expansion states, the surgeons’ revenue increased 2 percent.
The gap was narrower in the primary care sector: there, physician revenue increased 3.3 percent in the non-expansion states, and 3 percent in the Medicaid-expansion states.