TABLE 4.
Change in Provision of Charity Care and Acceptance of Medicaid Patients, by Changes in Physicians’ Income and Key Practice Characteristics
| Provision of Charity Care |
Acceptance of New Medicaid Patients |
||||
|---|---|---|---|---|---|
| Percentage of physicians in panel sample | Percentage started charity care in T2a | Percentage dropped charity care in T2b | Percentage started Medicaid in T2a | Percentage dropped Medicaid in T2b | |
| All physicians in panel | 100.0 | 41.6 | 15.7 | 27.9 | 10.1 |
| Change in income | |||||
| Large decrease (>20%) | 20.0 | 47.7c | 15.8 | 28.2 | 13.0c |
| Small decrease (5–20%) | 21.9 | 39.7 | 14.0c | 28.8 | 10.1 |
| Little or no change (+/−5%) | 17.7 | 38.2 | 16.7 | 28.0 | 9.6 |
| Small increase (5–20%) | 16.4 | 38.1 | 17.6 | 27.9 | 8.7 |
| Large increase (>20%) | 24.0 | 44.2d | 15.1 | 26.8 | 8.9 |
| Change in ownership | |||||
| Changed from owner to employee | 4.5 | 33.4 | 21.1c | 53.4c | 8.0 |
| Changed from employee to owner | 7.6 | 57.0c | 14.2 | 31.1 | 17.4c |
| No change | 87.9 | 40.4 | 15.5 | 26.3 | 9.5 |
| Change in practice type | |||||
| Small office to large office or institution | 6.5 | 37.8 | 22.2c | 46.8c | 6.3 |
| Large office or institution to small office | 7.0 | 51.8c | 15.7 | 30.6 | 14.8c |
| No change | 86.5 | 40.8 | 15.2 | 26.5 | 9.9c |
a
For percentages starting charity care and Medicaid in T2, sample includes only those physicians who were not providing charity care (or not accepting Medicaid patients) in T1.
b
For percentages dropping charity care and Medicaid in T2, sample includes only those physicians who were providing charity care (or accepting Medicaid patients) in T1.
c
Difference from “no change” group is statistically significant at .05 level.
d
Difference from “no change” group is statistically significant at .10 level.