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Is a Physician "Provider Tax" the Solution to Michigan's Medicaid Woes?

Authors:
David C Markel Peter J Sauer Ralph B Blasier

HSS J 2013 Oct 29;9(3):257-63. Epub 2013 Aug 29.

Orthopaedic Surgery, OSF St Francis Hospital and Medical Group, Escanaba, MI 49829 USA.

Background: Michigan is facing a Medicaid budget shortfall. Evidence suggests that the underlying factors causing reliance on Medicaid and cost of treatment to increase are getting worse. A tax on Michigan physicians has been proposed by legislators to meet the budget demands of Michigan's Medicaid program.

Questions/purposes: This paper looks at the legal basis of such a tax, studies the successes and failures of other states that have implemented similar taxes, and attempts to assess the effect this tax would have on Michigan doctors and patients.

Conclusion: With current Medicaid rules, such a tax would increase federal matching funds and potentially reimbursement rates. However, the cost of a tax on physicians would not be born equally, and there are no guarantees that the revenue would provide a funding solution.

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Source
http://dx.doi.org/10.1007/s11420-013-9348-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3772163PMC
October 2013

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