Medicaid Payment: Comparisons Of Selected Services Under Fee-for-Service, Managed Care, And Private Insurance

In July 2014, the Government Accountability Office (GAO) released a report (GAO-14-533) comparing provider payments per service for Medicaid fee-for-service (FFS), Medicaid managed care, and private insurance. GAO examined: (1) how payments for evaluation and management (E/M) services under Medicaid FFS and Medicaid managed care compared with private health insurance prior to the HCERA mandated increases; and (2) how payments for E/M services under Medicaid managed care compared with Medicaid FFS prior to the HCERA-mandated increases. GAO compared payments to physicians for 26 E/M services in selected states, chosen on the basis . . .