Wisconsin Physicians to See Major Pay Cut Without Immediate Legislative Action

For Immediate Release-- December 29, 2014

Contact: Kevin Kane, 414 550 8280, kevin.kane@citizenactionwi.org

Wisconsin Physicians to See Major Pay Cut Without Immediate Legislative Action

Up to 4,631 primary care physicians in Wisconsin to face 45% cut in Medicaid payments unless Walker and Legislature act to continue enhanced reimbursement levels.

Madison: In 3 days primary care physicians across Wisconsin are set to lose 45.8% of their reimbursements from Medicaid patients unless the Walker and the State Legislature join 15 states in continuing enhanced reimbursement levels that were included in the Affordable Care Act. Failure to continue Medicaid primary care reimbursements at the current level would mean a cut for up to 4,631 primary care physicians across the state.

“Creating a value-based health care system that prioritizes preventive care means investing in primary care doctors,” said Robert Kraig, Executive Director of Citizen Action of Wisconsin. “The Walker Administration and the conservative Legislature’s refusal to build upon the Affordable Care Act is once again damaging health care access and quality in Wisconsin.”

All 72 counties can be found here

COUNTY

PRIMARY CARE PHYSICIANS1

POPULATION PER PHYSICIAN2

MEDICAID POPULATION3

Statewide

4,631

1,233:1

1,180,693

Brown

171

1,470:1

42,269

Dane

607

817:1

67,698

Douglas

16

2,757:1

9,118

Eau Claire

126

793:1

18,884

Fond du Lac

71

1,438:1

15,207

Kenosha

76

2,201:1

35,359

La Crosse

163

709:1

48,279

Manitowoc

50

1,620:1

12,711

Marathon

126

1,067:1

23,087

Milwaukee

711

1,340:1

315,902

Oneida

47

762:1

7,105

Outagamie

146

1,219:1

23,715

Portage

51

1,374:1

10,609

Racine

105

1,861:1

42,578

Rock

100

1,601:1

35,229

Sheboygan

64

1,799:1

18,523

Waukesha

529

739:1

30,921

Winnebago

141

1,189:1

26,020

Wood

137

546:1

42,787

1 - Primary care physicians include non-federal, practicing physicians (M.D.'s and D.O.'s) under age 75 specializing in general practice medicine, family medicine, internal medicine, and pediatrics. Source for all 72 counties

2 - Total county population per physician. Source

3 - Total Medicaid coverage by county, November 2014 estimates. Source

Already 15 states that have taken action to continue enhanced physician Medicaid reimbursement, with more states considering the action. This includes both states that have accepted enhanced federal Medicaid funds and those that have rejected them. Alabama, Maine, Mississippi, Nebraska, and South Carolina have all rejected the enhanced federal Medicaid funding to cover low and moderate income residents yet have continued enhanced physician reimbursement. Wisconsin must take this course of action soon or thousands of Wisconsin physicians will experience more financial strain when seeking to cover Medicaid patients. This risks reducing timely access for Medicaid beneficiaries to primary care services.

The Affordable Care Act increased the reimbursement level of Medicaid for primary care physicians to increase the ability of patients to access primary care. This increase was temporary, ending at the end of December, while giving state's the ability to take these additional reimbursement amounts on themselves. The Federal government also freed states up to cover this cost by taking on the cost of the uninsured population, but primarily in states that accepted federal Medicaid funds. Had Wisconsin accepted the enhanced federal Medicaid funds, Legislative Fiscal Bureau estimates show the upcoming 2015-2017 state budget alone would save $315 million and more over time.

 

Be the first to comment

Please check your e-mail for a link to activate your account.