Hospital Care for the Uninsured in Miami-Dade County

Hospital Finance and Patient Travel Patterns

by Catherine A. Jackson, Kathryn Pitkin Derose, James Chiesa, Jose J. Escarce

Download

Download eBook for Free

FormatFile SizeNotes
PDF file 3.5 MB

Use Adobe Acrobat Reader version 10 or higher for the best experience.

Note: Many electronic documents posted prior to 2003 are available as chapter PDFs or HTML files linked from the Contents.

Purchase

Purchase Print Copy

 FormatList Price Price
Add to Cart Paperback88 pages $15.00 $12.00 20% Web Discount

One-quarter of the population in Miami Dade County, Florida, lacks health insurance, a fraction well above the national average. To address the problem of financing health care for the uninsured, a surtax on sales was approved by Miami-Dade County voters to help support the activities of the county's sole public health-care facility, Jackson Memorial Hospital (JMH). Recently it has been suggested that surtax revenues should be distributed across a wider range of institutions that also provide uncompensated care. This study examines the extent to which uncompensated care is provided by hospitals other than JMH, and whether the greater access to surtax-funded care at JMH might cause patients to pass up facilities much nearer to their homes and travel long distances for care. The report concludes that Miami-Dade County should consider finding ways to reduce the number of uninsured persons in the county; revisit the financing of health care for the indigent; examine the role of community benefits in the county and their impact on the provision of indigent care; and monitor the dynamics of hospital-care provision in the county.

Table of Contents

  • Preface PDF

  • Figures PDF

  • Tables PDF

  • Summary PDF

  • Acknowledgements

    Acknowledgments PDF

  • Chapter One

    Introduction PDF

  • Chapter Two

    Background PDF

  • Chapter Three

    Distribution of Uncompensated Care PDF

  • Chapter Four

    Geographic Access to Care PDF

  • Chapter Five

    Conclusions PDF

  • Appendix PDF

  • Bibliography PDF

The research described in this report was performed under the auspices of RAND Health.

This report is part of the RAND Corporation monograph report series. The monograph/report was a product of the RAND Corporation from 1993 to 2003. RAND monograph/reports presented major research findings that addressed the challenges facing the public and private sectors. They included executive summaries, technical documentation, and synthesis pieces.

Permission is given to duplicate this electronic document for personal use only, as long as it is unaltered and complete. Copies may not be duplicated for commercial purposes. Unauthorized posting of RAND PDFs to a non-RAND Web site is prohibited. RAND PDFs are protected under copyright law. For information on reprint and linking permissions, please visit the RAND Permissions page.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.