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Published on: May 29, 2017
Insurance reimbursement in a university-based pediatric weight management clinic
Joan Griffith1, Starr Gantz, Jill Lowry
1University of Kentucky, Department of Pediatrics, Lexington, KY, USA. joanrgriffith@earthlink.net
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.
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