| Responsiveness and satisfaction with providers and carriers in a safety net insurance program: Evidence from Georgia's Medical Insurance for the Poor. | |
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MedLine Citation:
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PMID: 21820197 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate provider responsiveness and beneficiary satisfaction with insurance carriers participating in the Republic of Georgia's Medical Insurance for the Poor. STUDY SETTING: A dedicated survey of approximately 3500 households in two types of regions - with different eligibility thresholds - in November and December 2008. STUDY DESIGN: Regression-based estimation of responsiveness ratings by beneficiaries and non-beneficiaries of the insurance program and estimation of mean satisfaction scores for beneficiaries. PRINCIPAL FINDINGS: In the high-threshold regions, provider responsiveness toward beneficiaries and non-beneficiaries is comparable. In the low-threshold regions, beneficiary status is associated with lower responsiveness of outpatient providers. Inpatient providers may have become less responsive toward beneficiaries during the program's transition from public to private administration. While satisfaction of beneficiaries with carriers is above average, there are reports of difficulties in obtaining reimbursements and information about benefits. CONCLUSIONS: The results suggest that relying on private insurance companies to deliver public programs in middle-income settings may impact provider responsiveness and indicate the need for continuous monitoring and regulation. |
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Authors:
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Sebastian Bauhoff; David R Hotchkiss; Owen Smith |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-8-3 |
Journal Detail:
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Title: Health policy (Amsterdam, Netherlands) Volume: - ISSN: 1872-6054 ISO Abbreviation: - Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-8-8 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8409431 Medline TA: Health Policy Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2011 Elsevier Ireland Ltd. All rights reserved. |
Affiliation:
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Department of Health Care Policy, Harvard University, Boston, MA, USA. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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