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2. Insurance reimbursement in a university-based pediatric weight management clinic.

Author

Griffith J, Gantz S, Lowry J, Dai H, and Bada H

Subjects
Body Mass Index, Child, Databases as Topic, Demography, Female, Geography, Humans, Kentucky, Male, Medicaid, Pilot Projects, Schools, Medical, Hospitals, University economics, Insurance, Health, Reimbursement statistics & numerical data, Obesity economics, Obesity prevention & control, Outpatient Clinics, Hospital economics, Overweight, Pediatrics economics
Abstract

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.

Published
2007

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