TABLE 5.
Change in Charity Care |
Change in Acceptance of New Medicaid Patients |
|||
---|---|---|---|---|
Variable | Dropped charity care in T2a | Added charity care in T2b | Stopped accepting new Medicaid in T2a | Started accepting new Medicaid in T2b |
Ownership status | ||||
Owner (baseline) | .556c | 1.640c | 1.033 | .511c |
Change in ownership | ||||
Employee to owner | .621c | 2.629c | 1.921c | .618e |
Owner to employee | 1.995c | .503c | .764 | 3.859c |
Practice type | ||||
Large/non-office-based (baseline) | 1.426c | .661c | .621c | 1.467d |
Change in practice type | ||||
Small to large/non-office | 2.164c | .427c | .405c | 1.856e |
Large/non-office to small | .648e | 2.417c | 1.752e | 1.225 |
Percent change in income | .999 | .999 | .996c | .998 |
Practice revenue shares | ||||
Capitation | 1.005c | .995c | 1.000 | 1.007c |
Medicaid | 1.003 | 1.002 | .963c | 1.047c |
Medicaid fees | ||||
Medicaid/Medicare fee (baseline) | 12.987c | .565 | .664 | 6.237 |
Change in fee | 2.286 | .222 | .149c | 1.285 |
Population characteristics | ||||
Percent uninsured | 1.039 | 1.009 | 1.039 | .943 |
Change in percent uninsured | .978 | .982 | .990 | .980 |
Percent with Medicaid | 1.017 | 1.048 | 1.013 | .976 |
Change in percent Medicaid | .999 | .985 | 1.003 | .978 |
Sample size | 11,654 | 4,312 | 12,451 | 3,482 |
Sample includes only physicians providing charity care (or accepting Medicaid patients) in T1.
Sample includes only physicians not providing charity care (or not accepting Medicaid patients) in T1.
p ≤ .01.
01 < p ≤ .05.
05 < p ≤ .10.
Results are based on logistic regressions that also included the following variables: physician's gender, medical and surgical specialty, board certification, international medical graduate, years in practice, number of weeks in patient care in the preceding year, hours of patient care in the past week, changes in hours of patient care between T1 and T2, number of physicians per person in the county, number of hospital beds per person in the county, binary indicator for panels 2 and 3, and binary indicators for the 60 CTS sites.