Specialty Care Study Highlights Discrepancies

Posted on: October 18, 2011

The 2005 consent decree in the Memisovski v. Maram lawsuit led to many positive changes in reimbursement, timely payment, and quality incentives for Medicaid enrolled providers.  However, the ruling was based on primary care services and did not significantly affect specialty care access or payment.  University of Pennsylvania researchers, contracted by Illinois Medicaid, completed a study on access to specialty care services by Medicaid and non-Medicaid enrollees.  The executive summary and the full final report on the study were issued in June 2011.