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Exhibit 1. About Six of 10 Primary Care Clinicians Are Seeing
More Medicaid or Newly Insured Patients Since January 2014
Percent of providers reporting increases in the following patients since January 2014
100
Physicians
Nurse practitioners and physician assistants
80
60
54
44
42
45
48
54
59
64
40
20
0
Total number of patients
Medicaid patients*
Newly insured patients
* Among providers accepting Medicaid patients.
Source: The Kaiser Family Foundation/Commonwealth Fund 2015 National Survey of Primary Care Providers.
Medicaid or newly
insured patients
Exhibit 2. Most Providers Report No Change in Their Ability
to Provide Quality Care
Percent who say since January 2014, their ability to provide high-quality care to all patients has:
Gotten worse
Stayed about the same
Improved
Physicians
Total
20%
Increase in Medicaid or
newly insured patients
21%
No increase in Medicaid or
newly insured patients
18%
59%
55%
65%
20%
23%
16%
Nurse practitioners/Physician assistants
Total
18%
63%
Increase in Medicaid or
newly insured patients
19%
60%
No increase in Medicaid or
newly insured patients
16%
68%
Source: The Kaiser Family Foundation/Commonwealth Fund 2015 National Survey of Primary Care Providers.
19%
21%
15%
Exhibit 3. Half of Physicians and Two-Thirds of Nurse Practitioners and
Physician Assistants Are Currently Accepting New Medicaid Patients
Accepts Medicaid but not currently taking new Medicaid patients
Currently accepting new Medicaid patients
100%
6%
80%
60%
22%
21%
23%
19%
0%
23%
92%
40%
20%
13%
50%
50%
51%
Total
Expansion
states
Nonexpansion
states
66%
63%
43%
CHC
Hospitalowned
Physicians
Source: The Kaiser Family Foundation/Commonwealth Fund 2015 National Survey of Primary Care Providers.
Private
practice
Total
NPs/PAs
Exhibit 4. Physicians’ Opinions About the Affordable Care Act
Are Split, with Sharp Divisions Along Party Lines
Among physicians: Overall, what is your opinion of the health care law that was passed in 2010,
also known as the Affordable Care Act (ACA) or Obamacare?
Very unfavorable
Somewhat unfavorable
Total
26%
Somewhat favorable
26%
35%
Very favorable
13%
By Political Party ID
Democrats
3%
Independents
Republicans
34%
47%
9%
51%
24%
40%
35%
12%
1%
Source: The Kaiser Family Foundation/Commonwealth Fund 2015 National Survey of Primary Care Providers.
36%
7%
Exhibit 5. Providers Serving a Higher Proportion of
Medicaid Patients Are More Likely to Say Medicaid Expansion
Has Positively Impacted Their Ability to Provide Quality Care
Do you think the expansion of Medicaid under the Affordable Care Act is having a positive, negative, or no impact
on primary care providers’ ability to provide quality care to their patients?
Not sure
Negative
No impact
Positive
Physicians
Total
20% or more Medicaid patients
<20% Medicaid patients
26%
20%
23%
21%
29%
14%
36%
10%
48%
25%
17%
27%
Nurse practitioners/Physician assistants
Total
20% or more Medicaid patients
<20% Medicaid patients
26%
23%
30%
21%
18%
13%
39%
13%
24%
Source: The Kaiser Family Foundation/Commonwealth Fund 2015 National Survey of Primary Care Providers.
45%
13%
32%
Exhibit 6. Partisan Divisions Persist on Views of Medicaid
Expansion and Its Impact on the Ability to Provide Quality Care
Do you think the expansion of Medicaid under the Affordable Care Act is having a positive, negative, or no impact
on primary care providers’ ability to provide quality care to their patients?
Not sure
Negative
No impact
Positive
Physicians
Democrats
Independents
Republicans
16%
9%
12%
25%
63%
26%
27%
15%
33%
37%
18%
18%
Nurse practitioners/Physician assistants
Democrats
Independents
Republicans
18%
6%
22%
30%
11%
21%
64%
11%
31%
45%
14%
Source: The Kaiser Family Foundation/Commonwealth Fund 2015 National Survey of Primary Care Providers.
24%
Exhibit 7. Physicians’ Views of the Impact of Health Reform on
Their Practice and Patients Are More Negative on Cost of Care and
More Positive on Access and Health Insurance
Among physicians: Percent who say the ACA has had a positive impact, negative impact, or no impact on each of
the following:
Not sure
Your medical practice overall
The quality of care your
patients receive
The ability of your practice to
meet patient demand
Negative impact
9%
6%
10%
The cost of health care for your
patients
16%
Access to health care and insurance
in the country overall
14%
No impact
36%
Positive impact
31%
25%
23%
50%
35%
44%
44%
24%
18%
12%
Source: The Kaiser Family Foundation/Commonwealth Fund 2015 National Survey of Primary Care Providers.
10%
17%
48%
21%
Exhibit 8. The Vast Majority of Providers—Democrats and
Republicans Alike—Are Satisfied with Their Medical Practice
Percent of providers reporting they are “very or somewhat” satisfied with their medical practice overall
Total
Democrats
100
Republicans
93
83
85
82
80
Independents
92
95
92
81
60
40
20
0
Physicians
Nurse practitioners and physician assistants
Source: The Kaiser Family Foundation/Commonwealth Fund 2015 National Survey of Primary Care Providers.