States could pay Medicaid primary care doctors a fixed regular fee instead of paying per visit. The federal health department would give states guidance and report on cost and quality.
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Medicaid Primary Care Improvement Act is a House bill in committee. The latest recorded action: Referred to the House Committee on Energy and Commerce.
Latest action on H.R. 1162: Referred to the House Committee on Energy and Commerce.
Who this affects: This bill mainly affects state Medicaid programs, Medicaid managed care plans, primary care doctors, and Medicaid patients. States would get clearer permission to try fixed-fee primary care. Doctors and clinics could see new payment contracts. Medicaid patients could see changes in how primary care visits are arranged, but the bill does not let states cut Medicaid down to only direct primary care.
Why this matters: This bill matters because it gives states clearer room to try a different way to pay for Medicaid primary care. Instead of paying for each visit, a state or managed care plan could pay a regular fee for primary care access. That could change how doctors schedule care, manage patients, and plan their work. The real effects on cost, access, and health are uncertain because states would decide whether and how to use the model.
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