Study Finds Variations in Pediatric Dermatologists Who Accept Medicaid

Article Type
Changed
Tue, 07/02/2024 - 15:29

 

TOPLINE:

Medicaid acceptance among pediatric dermatologists varies significantly by practice type and region, with the highest rate among academic practices.

[embed:render:related:node:256264]

METHODOLOGY:

  • Researchers identified 352 actively practicing board-certified pediatric dermatologists using the Society for Pediatric Dermatology database and determined Medicaid acceptance status.
  • They collected physician and practice characteristics from the US Census American Community Survey data and a web search.

TAKEAWAY:

  • A total of 275 (78.1%) board-certified pediatric dermatologists accepted Medicaid.
  • Academic practices had the highest Medicaid acceptance rate (98.7%), while private practices had the lowest (43.1%), a significant difference (P < .001).
  • Acceptance rates were significantly higher in the Midwest (90.9%) than in the Northeast (71.8%) or West (71.4%; P = .005). Regional differences persisted after controlling for practice type: Midwest practice locations had greater odds of Medicaid acceptance than those in the Northeast (odds ratio [OR], 5.25; 95% confidence interval [CI], 1.76-15.65) or West (OR, 5.26; 95% CI, 1.88-14.66).
  • Practices in counties with lower median household incomes and greater densities of pediatric dermatologists were associated with higher Medicaid acceptance (P = .001).

IN PRACTICE:

“While most pediatric dermatologists accept Medicaid, this study revealed differential access to care based on practice type, geographic location, and density of pediatric dermatologists per county,” the authors wrote. More research is needed on “the impact on health outcomes when specialty services are unavailable” and on “the role of administrative and reimbursement barriers limiting Medicaid acceptance among pediatric dermatologists,” they added.
 

SOURCE:

The study was led by Madeleine Tessier-Kay, MPH, Department of Dermatology, at the University of Connecticut Health Center in Farmington, Connecticut. It was published online in Pediatric Dermatology.
 

LIMITATIONS:

Limitations include potential incomplete capture of board-certified physicians, as not all board-certified pediatric dermatologists may be members of the Society for Pediatric Dermatology, and potential inaccurate capture of physician characteristics and Medicaid acceptance status.
 

DISCLOSURES:

The study funding source was not disclosed. One author was a consultant for AbbVie. Other authors declared no competing interests.
 

This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication. A version of this article appeared on Medscape.com.

Publications
Topics
Sections

 

TOPLINE:

Medicaid acceptance among pediatric dermatologists varies significantly by practice type and region, with the highest rate among academic practices.

[embed:render:related:node:256264]

METHODOLOGY:

  • Researchers identified 352 actively practicing board-certified pediatric dermatologists using the Society for Pediatric Dermatology database and determined Medicaid acceptance status.
  • They collected physician and practice characteristics from the US Census American Community Survey data and a web search.

TAKEAWAY:

  • A total of 275 (78.1%) board-certified pediatric dermatologists accepted Medicaid.
  • Academic practices had the highest Medicaid acceptance rate (98.7%), while private practices had the lowest (43.1%), a significant difference (P < .001).
  • Acceptance rates were significantly higher in the Midwest (90.9%) than in the Northeast (71.8%) or West (71.4%; P = .005). Regional differences persisted after controlling for practice type: Midwest practice locations had greater odds of Medicaid acceptance than those in the Northeast (odds ratio [OR], 5.25; 95% confidence interval [CI], 1.76-15.65) or West (OR, 5.26; 95% CI, 1.88-14.66).
  • Practices in counties with lower median household incomes and greater densities of pediatric dermatologists were associated with higher Medicaid acceptance (P = .001).

IN PRACTICE:

“While most pediatric dermatologists accept Medicaid, this study revealed differential access to care based on practice type, geographic location, and density of pediatric dermatologists per county,” the authors wrote. More research is needed on “the impact on health outcomes when specialty services are unavailable” and on “the role of administrative and reimbursement barriers limiting Medicaid acceptance among pediatric dermatologists,” they added.
 

SOURCE:

The study was led by Madeleine Tessier-Kay, MPH, Department of Dermatology, at the University of Connecticut Health Center in Farmington, Connecticut. It was published online in Pediatric Dermatology.
 

LIMITATIONS:

Limitations include potential incomplete capture of board-certified physicians, as not all board-certified pediatric dermatologists may be members of the Society for Pediatric Dermatology, and potential inaccurate capture of physician characteristics and Medicaid acceptance status.
 

DISCLOSURES:

The study funding source was not disclosed. One author was a consultant for AbbVie. Other authors declared no competing interests.
 

This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication. A version of this article appeared on Medscape.com.

 

TOPLINE:

Medicaid acceptance among pediatric dermatologists varies significantly by practice type and region, with the highest rate among academic practices.

[embed:render:related:node:256264]

METHODOLOGY:

  • Researchers identified 352 actively practicing board-certified pediatric dermatologists using the Society for Pediatric Dermatology database and determined Medicaid acceptance status.
  • They collected physician and practice characteristics from the US Census American Community Survey data and a web search.

TAKEAWAY:

  • A total of 275 (78.1%) board-certified pediatric dermatologists accepted Medicaid.
  • Academic practices had the highest Medicaid acceptance rate (98.7%), while private practices had the lowest (43.1%), a significant difference (P < .001).
  • Acceptance rates were significantly higher in the Midwest (90.9%) than in the Northeast (71.8%) or West (71.4%; P = .005). Regional differences persisted after controlling for practice type: Midwest practice locations had greater odds of Medicaid acceptance than those in the Northeast (odds ratio [OR], 5.25; 95% confidence interval [CI], 1.76-15.65) or West (OR, 5.26; 95% CI, 1.88-14.66).
  • Practices in counties with lower median household incomes and greater densities of pediatric dermatologists were associated with higher Medicaid acceptance (P = .001).

IN PRACTICE:

“While most pediatric dermatologists accept Medicaid, this study revealed differential access to care based on practice type, geographic location, and density of pediatric dermatologists per county,” the authors wrote. More research is needed on “the impact on health outcomes when specialty services are unavailable” and on “the role of administrative and reimbursement barriers limiting Medicaid acceptance among pediatric dermatologists,” they added.
 

SOURCE:

The study was led by Madeleine Tessier-Kay, MPH, Department of Dermatology, at the University of Connecticut Health Center in Farmington, Connecticut. It was published online in Pediatric Dermatology.
 

LIMITATIONS:

Limitations include potential incomplete capture of board-certified physicians, as not all board-certified pediatric dermatologists may be members of the Society for Pediatric Dermatology, and potential inaccurate capture of physician characteristics and Medicaid acceptance status.
 

DISCLOSURES:

The study funding source was not disclosed. One author was a consultant for AbbVie. Other authors declared no competing interests.
 

This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication. A version of this article appeared on Medscape.com.

Publications
Publications
Topics
Article Type
Sections
Teambase XML
<?xml version="1.0" encoding="UTF-8"?>
<!--$RCSfile: InCopy_agile.xsl,v $ $Revision: 1.35 $-->
<!--$RCSfile: drupal.xsl,v $ $Revision: 1.7 $-->
<root generator="drupal.xsl" gversion="1.7"> <header> <fileName>168614</fileName> <TBEID>0C050D8E.SIG</TBEID> <TBUniqueIdentifier>MD_0C050D8E</TBUniqueIdentifier> <newsOrJournal>News</newsOrJournal> <publisherName>Frontline Medical Communications</publisherName> <storyname/> <articleType>2</articleType> <TBLocation>QC Done-All Pubs</TBLocation> <QCDate>20240702T144609</QCDate> <firstPublished>20240702T150803</firstPublished> <LastPublished>20240702T152424</LastPublished> <pubStatus qcode="stat:"/> <embargoDate/> <killDate/> <CMSDate>20240702T150803</CMSDate> <articleSource/> <facebookInfo/> <meetingNumber/> <byline>Ed. by Deepa Varma</byline> <bylineText>EDITED DEEPA VARMA</bylineText> <bylineFull>EDITED DEEPA VARMA</bylineFull> <bylineTitleText/> <USOrGlobal/> <wireDocType/> <newsDocType>News</newsDocType> <journalDocType/> <linkLabel/> <pageRange/> <citation/> <quizID/> <indexIssueDate/> <itemClass qcode="ninat:text"/> <provider qcode="provider:imng"> <name>IMNG Medical Media</name> <rightsInfo> <copyrightHolder> <name>Frontline Medical News</name> </copyrightHolder> <copyrightNotice>Copyright (c) 2015 Frontline Medical News, a Frontline Medical Communications Inc. company. All rights reserved. This material may not be published, broadcast, copied, or otherwise reproduced or distributed without the prior written permission of Frontline Medical Communications Inc.</copyrightNotice> </rightsInfo> </provider> <abstract/> <metaDescription>Medicaid acceptance among pediatric dermatologists varies significantly by practice type and region, with the highest rate among academic practices.</metaDescription> <articlePDF/> <teaserImage/> <teaser>More research is needed on “the impact on health outcomes when specialty services are unavailable,” the authors wrote.</teaser> <title>Study Finds Variations in Pediatric Dermatologists Who Accept Medicaid</title> <deck/> <disclaimer/> <AuthorList/> <articleURL/> <doi/> <pubMedID/> <publishXMLStatus/> <publishXMLVersion>2</publishXMLVersion> <useEISSN>0</useEISSN> <urgency/> <pubPubdateYear/> <pubPubdateMonth/> <pubPubdateDay/> <pubVolume/> <pubNumber/> <wireChannels/> <primaryCMSID/> <CMSIDs/> <keywords/> <seeAlsos/> <publications_g> <publicationData> <publicationCode>skin</publicationCode> <pubIssueName/> <pubArticleType/> <pubTopics/> <pubCategories/> <pubSections/> </publicationData> <publicationData> <publicationCode>fp</publicationCode> <pubIssueName/> <pubArticleType/> <pubTopics/> <pubCategories/> <pubSections/> </publicationData> <publicationData> <publicationCode>pn</publicationCode> <pubIssueName/> <pubArticleType/> <pubTopics/> <pubCategories/> <pubSections/> </publicationData> </publications_g> <publications> <term canonical="true">13</term> <term>15</term> <term>25</term> </publications> <sections> <term>27970</term> <term canonical="true">39313</term> </sections> <topics> <term>38029</term> <term canonical="true">271</term> <term>203</term> </topics> <links/> </header> <itemSet> <newsItem> <itemMeta> <itemRole>Main</itemRole> <itemClass>text</itemClass> <title>Study Finds Variations in Pediatric Dermatologists Who Accept Medicaid</title> <deck/> </itemMeta> <itemContent> <h2>TOPLINE:</h2> <p> <span class="tag metaDescription">Medicaid acceptance among pediatric dermatologists varies significantly by practice type and region, with the highest rate among academic practices.</span> <br/><br/> </p> <h2>METHODOLOGY:</h2> <ul class="body"> <li>Researchers identified 352 actively practicing board-certified pediatric dermatologists using the Society for Pediatric Dermatology database and determined Medicaid acceptance status.</li> <li>They collected physician and practice characteristics from the US Census American Community Survey data and a web search.</li> </ul> <h2>TAKEAWAY:</h2> <ul class="body"> <li>A total of 275 (78.1%) board-certified pediatric dermatologists accepted Medicaid.</li> <li>Academic practices had the highest Medicaid acceptance rate (98.7%), while private practices had the lowest (43.1%), a significant difference (<em>P</em> &lt; .001).</li> <li>Acceptance rates were significantly higher in the Midwest (90.9%) than in the Northeast (71.8%) or West (71.4%; <em>P</em> = .005). Regional differences persisted after controlling for practice type: Midwest practice locations had greater odds of Medicaid acceptance than those in the Northeast (odds ratio [OR], 5.25; 95% confidence interval [CI], 1.76-15.65) or West (OR, 5.26; 95% CI, 1.88-14.66).</li> <li>Practices in counties with lower median household incomes and greater densities of pediatric dermatologists were associated with higher Medicaid acceptance (<em>P</em> = .001).</li> </ul> <h2>IN PRACTICE:</h2> <p>“While most pediatric dermatologists accept Medicaid, this study revealed differential access to care based on practice type, geographic location, and density of pediatric dermatologists per county,” the authors wrote. More research is needed on “the impact on health outcomes when specialty services are unavailable” and on “the role of administrative and reimbursement barriers limiting Medicaid acceptance among pediatric dermatologists,” they added.<br/><br/></p> <h2>SOURCE:</h2> <p>The study was led by Madeleine Tessier-Kay, MPH, Department of Dermatology, at the University of Connecticut Health Center in Farmington, Connecticut. It was published <span class="Hyperlink"><a href="https://onlinelibrary.wiley.com/doi/10.1111/pde.15656">online</a></span> in <em>Pediatric Dermatology</em>.<br/><br/></p> <h2>LIMITATIONS:</h2> <p>Limitations include potential incomplete capture of board-certified physicians, as not all board-certified pediatric dermatologists may be members of the Society for Pediatric Dermatology, and potential inaccurate capture of physician characteristics and Medicaid acceptance status.<br/><br/></p> <h2>DISCLOSURES:</h2> <p>The study funding source was not disclosed. One author was a consultant for AbbVie. Other authors declared no competing interests.<br/><br/></p> <p> <em>This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication. A version of this article appeared on <span class="Hyperlink"><a href="https://www.medscape.com/viewarticle/medicaid-acceptance-among-pediatric-dermatologists-varies-2024a1000c4w">Medscape.com</a></span>.</em> </p> </itemContent> </newsItem> <newsItem> <itemMeta> <itemRole>teaser</itemRole> <itemClass>text</itemClass> <title/> <deck/> </itemMeta> <itemContent> </itemContent> </newsItem> </itemSet></root>
Disallow All Ads
Content Gating
No Gating (article Unlocked/Free)
Alternative CME
Disqus Comments
Default
Use ProPublica
Hide sidebar & use full width
render the right sidebar.
Conference Recap Checkbox
Not Conference Recap
Clinical Edge
Display the Slideshow in this Article
Medscape Article
Display survey writer
Reuters content
Disable Inline Native ads
WebMD Article