Insurance reimbursement in a university-based pediatric weight management clinic

Autor: Joan, Griffith, Starr, Gantz, Jill, Lowry, Hongying, Dai, Henrietta, Bada
Rok vydání: 2007
Předmět:
Zdroj: Journal of the National Medical Association. 99(9)
ISSN: 0027-9684
Popis: OBJECTIVES: To compare third-party payor reimbursement for patients evaluated in a university-based pediatric weight management clinic in central Kentucky. STUDY DESIGN: Demographic and reimbursement data were reviewed for 120 patients evaluated January to December 2004. Statistical analysis included Kruskal-Wallis test and Friedman's test. RESULTS: Overall, median reimbursement was 60%. For new appointments, contracted (56%) and capitated (60%) reimbursements were higher than Medicaid (55%). For established appointments, Medicaid reimbursement (100%) was higher than contracted (37%) and capitated (58%). CONCLUSION: Our data suggest that reimbursement is influenced by regional factors and is improving in central Kentucky.
Databáze: OpenAIRE