Fee-For-Service Programs: A Literature Review and Results of a National Survey

Abstract

The first national comprehensive study on the impact of co-payment for health services on the general population was conducted in 1984 by the Rand Corporation. I conducted a literature review of all studies written since then in an attempt to determine to what extent the research conducted in the "free world" applied to the correctional environment. Additional information regarding fee-for-service programs in jails was gathered from a national study conducted by the National Commission on Correctional Health Care. The survey was mailed out to facilities participating in the accreditation program with a response rate of 62 percent. Results indicated that fee-for-service programs are increasing in number and vary in design and implementation in jails, but were still limited in prisons at the time of the survey.

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References

Bolton, M. A. (1995, November). Fee for service programs: Avoiding costly pitfalls. Presentation at the 19th National Conference on Correctional Health Care, Washington, DC.

Brook, R. H. , Ware, J. E., Jr. , Rogers, W. H. , Keiler, E. B. , Davies, A. R. , Sherbourne, C. A. , Goldberg, G. A. , Lohr, K. N. , Camp

, & Newhouse, J. P. (1984, December). The effect of coinsurance on the health of adults. California: Rand Corporation. (Rand publication number R-3055-HHS).

Cherkin, D. C. , Grothaus

, & Wagner, E. H. (1989). The effect of office visit copayments on utilization in a health maintenance organization. Medical Care, 27(11), 1036-1045.

Cherkin, D. C. , Grothaus

& Wagner, E. H. (1990). The effect of office visit copayments on preventive health care services in an HMO. Inquiry, 27, 24-38.

Greenwald, H. P. (1987). HMO membership, copayment, and initiation of care for cancer: A study of working adults. American Journal of Public Health, 77(4), 461-466.

Hafner-Eaton

(1993, 10 February). Physician utilization disparities between the uninsured and insured: Comparisons of the chronically ill, acutely ill, and well non-elderly populations. Journal of the American Medical Association, 269(6), 787-792.

Kiefe, C. I. , McKay, S. V. , Halevy

, & Brody, B. A. (1994, 13 June). Is cost a barrier to screening mammography for low-income women receiving medicare benefits?. Archives of Internal Medicine, 154, 1217-1224.

National Commission on Correctional Health Care . (1995, Spring). Position Statement. Mental health services in correctional settings. Journal of Correctional Health Care, 2(1), 85-91.

Quinn, M. W. (1995, November). Fee-for-service programs: Avoiding costly pitfalls. Presentation at the 19th National Conference on Correctional Health Care, Washington, DC.

10.

Reeder, C. E. & Nelson, A. A. (1985). The differential impact of copayment on drug use in a Medicaid population. Inquiry, 22, 396-403.

11.

Shapiro, M. F. , Ware, J. E. , & Sherbourne, C. D. (1986). Effects of cost sharing on seeking care for serious and minor symptoms. Annals of Internal Medicine, 104, 246-251.

12.

Simon, G. E. , Grothaus

, Durham, M. L. , Von Korff

, & Pabiniak

(1996, March). Impact of visit copayments on outpatient mental health utilization by members of a health maintenance organization. American Journal of Psychiatry, 153(3), 331-338.