"Physician Participation in Medi-Cal is not Keeping Pace with Growth in Enrollment"
- https://uccs.ucdavis.edu/events/2016-August-4-Coffman
- "Physician Participation in Medi-Cal is not Keeping Pace with Growth in Enrollment"
- 2016-08-04T12:00:00-07:00
- 2016-08-04T13:00:00-07:00
- Janet Coffman, Associate Professor in the Institute for Health Policy Studies, UC San Francisco
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“Physician Participation in Medi-Cal is not Keeping Pace with Growth in Enrollment.”
Associate Professor Janet Coffman, MPP, PhD Department of Family and Community Medicine University
of California, San Francisco
Enrollment in Medi-Cal has increased substantially due to the expansion of eligibility 
under the Affordable Care Act (ACA). One of every three Californians is now enrolled in Medi-Cal. The large growth in Medi-Cal enrollment raises questions about the adequacy of the supply of physicians caring for beneficiaries. To answer these questions, we analyzed data on Medi-Cal enrollment and responses to surveys we distributed to physicians in 2013 and 2015 in partnership with the Medical Board of California. We analyze responses of physicians renewing California licenses who practice in California, have completed training, and provide patient care at least 20 hours per week. We compared the proportions of physicians accepting new Medi-Cal patients and any Medi-Cal patients and the numbers of full-time equivalent (FTE) Medicaid physicians in California per 100,000 Medicaid beneficiaries before and after ACA-related expansion. Our findings suggest that Medi-Cal beneficiaries may not have adequate access to medical care and that policy changes may be needed to ensure that beneficiaries can obtain care in an appropriate setting and in a timely fashion.
Dr. Janet M. Coffman is an associate professor at Philip R. Lee Institute for Health Policy Studies, the Healthforce Center, and the Department of Family and Community Medicine at the University of California, San Francisco. She previously worked for UC Berkeley, the US Senate Committee on Veterans Affairs, and the San Francisco Department of Public Health. Dr. Coffman has authored numerous publications on supply and demand for healthcare workers, geographic maldistribution, and strategies for improving racial/ethnic diversity among health professionals.
She is the lead author of a report for the California HealthCare Foundation on California physicians’ participation in Medi-Cal in 2013 and a forthcoming report that will examine trends in Medi-Cal participation since the Affordable Care Act was implemented in 2014. Her other research interests include health care reform, access to care for vulnerable populations, and innovations in management of chronic illnesses. Dr. Coffman received a PhD in Health Services and Policy Analysis and a master’s degree in Public Policy from UC Berkeley.
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