Organization and Financing of Indigent Hospital Care in South Florida

Organization and Financing of Indigent Hospital Care in South Florida

Organization and Financing of Indigent Hospital Care in South Florida

Organization and Financing of Indigent Hospital Care in South Florida

Excerpt

Hospital care for the uninsured is a county responsibility in Florida. This report compares and contrasts the approaches used by three south Florida counties - Broward, Miami-Dade and Palm Beach - to fund health care for the indigent. Using hospital finance available through the Florida state Agency for Health Care Administration (AHCA), the report examines financing mechanisms and hospital costs and productivity across ownership types and third party payers. Using hospital discharge data from AHCA, hospital patient travel patterns are described to assess geographic access to care by type of patient insurance. Thus, this report addresses two important policy issues geographic access and costs of hospital care - for the uninsured.

While this report is specific to the context of south Florida, it should be of interest to policy makers and others considering approaches to indigent care financing and provision.

This report was funded by the South Florida Hospital and Healthcare Association, and carried out by RAND Health, a division of the RAND Corporation. RAND Health advances understanding of health and health behaviors and examines how organization and finance of care affect cost, quality and access. The RAND Corporation is a nonprofit research organization providing objective analysis and effective solutions that address the challenges facing the public and private sectors around the world.

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