Insurance reimbursement in a university-based pediatric weight management clinic

Joan Griffith, Starr Gantz, Jill Lowry, Hongying Dai, Henrietta Bada

Research output: Contribution to journalArticle

6 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)1037-1041
Number of pages5
JournalJournal of the National Medical Association
Volume99
Issue number9
StatePublished - Sep 1 2007

Keywords

  • Children/adolescents
  • Health insurance
  • Overweight

ASJC Scopus subject areas

  • Medicine(all)

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