Protecting children with chronic illness in a competitive marketplace

Health care for children with chronic illnesses is significantly more expensive than for the average child. Children with chronic illnesses are especially vulnerable in a competitive health care environment because of the higher ongoing cost associated with treating their illnesses and the inherent...

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Bibliographic Details
Published inJAMA : the journal of the American Medical Association Vol. 274; no. 23; p. 1866
Main Authors Neff, J M, Anderson, G
Format Journal Article
LanguageEnglish
Published United States 20.12.1995
Subjects
Capitation Fee
Child
Child Health Services - economics
Chronic Disease - economics
Chronic Disease - therapy
Cost of Illness
Economic Competition
Humans
Insurance Selection Bias
Managed Care Programs - economics
Medicaid - economics
Medically Uninsured
Quality of Health Care
Regional Medical Programs
Risk Management
United States
Washington
United States
Washington
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Summary:Health care for children with chronic illnesses is significantly more expensive than for the average child. Children with chronic illnesses are especially vulnerable in a competitive health care environment because of the higher ongoing cost associated with treating their illnesses and the inherent pressures to reduce services to manage within the capitated rate. To minimize the adverse impact a competitive market could have on these children, a "carve-out" for specific medical conditions is discussed. A capitation pricing system that reflects their higher costs is proposed, as well as a delivery system that is focused on their needs.
ISSN:0098-7484
DOI:10.1001/jama.1995.03530230052030