Obstetricians, gynecologists and emergency room doctors will be shut out of the higher Medicaid pay that primary care doctors will start collecting in January.
The Obama administration made the ruling late Thursday.
Under the Affordable Care Act, Medicaid rates for primary care doctors will soon be on par with what Medicare pays. The overhaul law included the hike to encourage doctors to see the larger number of patients who will be covered by a Medicaid expansion.
Medicaid is already the nation's largest health insurance program in terms of number of people covered: It serves nearly 1 in 5 Americans. Yet at the same time it's putting increasing strain on the budgets of states, which pay about 40 percent of its costs.
It's not so much what Mitt Romney said about whether the government should guarantee people health care in his interview on CBS's 60 Minutes Sunday that has health care policy types buzzing. It's how that compares to what he has said before.
To back up a bit, Scott Pelley asked the former Massachusetts governor if he thinks "the government has a responsibility to provide health care to the 50 million Americans who don't have it today?"
Originally published on Wed August 22, 2012 5:15 am
Fewer boys are being circumcised these days, and that could add to health costs down the road.
Over the past two decades, circumcision rates in the U.S. have fallen to 55 percent from a peak of about 79 percent. Insurance coverage for the procedure has also fallen — particularly under Medicaid — and is a factor in the decline.