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The 130th Annual Meeting of APHA |
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The 130th Annual Meeting of APHA |
John T. Wulu, PhD, Wilmer Alvarez, BS, and Robert Politzer, ScD. Office of Data, Evaluation, Analysis & Research, Bureau of Primary Health Care, HRSA/DHHS, 4350 East West Highway, 7th floor, Bethesda, MD 20814, 301-594-3730, jwulu@hrsa.gov
Objectives: This study analyzed the Bureau of Primary Health Care’s (BPHC) Uniform Data System (UDS) data over three consecutive years and determined patterns in revenue and reconciliation payments by State/Territory. The study also examined the relationships between Medicaid revenue per State/Territory and selected predictor variables. Methods: The data were extracted from the UDS databases for 1998, 1999, and 2000 with total numbers of CHCs of 694, 690, and 730, respectively. Trends in total revenue, managed care revenue and reconciliation payments reported by CHCs were analyzed. Descriptive and multivariate statistical analyses were performed. Results: Approximately 17% of the CHC’s Medicaid revenue accounted for the Medicaid reconciliation payments in 2000. There was an increase in the Medicaid revenue per user of about 14%, while the total revenue collected increased about 27%. There was an average change of $145,815 in the Medicaid revenue per State/Territory for each unit change in the number of physicians, when the number of CHC’s users and number of administrative staff were held constant. There was an average change of $127 in the Medicaid revenue per State/Territory for each unit change in the number of users, when number of physicians and number of administrative staff were held constant. Conclusions: Between 1998 and 2000, CHCs experienced growth in revenues, costs and reconciliation payments. Variation in these health care expenditures over a relatively short time period is of essence to primary care researchers and policy decision-makers and this study provides some distributions and models to delineate the trends in the data.
Learning Objectives:
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.