Access to private obstetrics/gynecology services under medicaid

Janet B. Mitchell, Rachel Schurman

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


Improving pregnancy outcomes for low-income women has been a longstanding Medicaid objective, yet exceptionally low Medicaid participation rates for private practice obstetrician-gynecologists (OB-GYNs) suggest that access to maternity care may be particularly limited. Using a national sample of more than 2, 800 office-based physicians, the authors analyzed the factors influencing the Medicaid participation decision of physicians in three specialties: OB-G YN, pediatrics, and general surgery. Regression results suggest that OB-GYNs are equally, or even more, sensitive to Medicaid reimbursement and program administration characteristics. Higher Medicaid fees definitely raise OB-GYN participation rates, for instance. OB-GYNs are also more willing to participate in those states where Medicaid programs are more generous in their eligibility requirements and where administrative red tape is less onerous.

Original languageEnglish (US)
Pages (from-to)1026-1037
Number of pages12
JournalMedical care
Issue number11
StatePublished - Nov 1984


  • Medicaid participation
  • OB-GYN services
  • Prenatal care


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