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Predictors of Payment Behavior among the Medically Uninsured: A Prospective Cohort Study of Patients Seeking Ambulatory Services

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Title: Predictors of Payment Behavior among the Medically Uninsured: A Prospective Cohort Study of Patients Seeking Ambulatory Services
Author(s): Weiner, Saul J.; Andes, Steven
Subject(s): Access to care bad debt vulnerable populations uninsured
Abstract: Background. Little is known about the characteristics of uninsured patients who attempt to pay for their care. Purpose. This study sought to identify predictors of payment after receiving care at three urban hospitals. Methodology. One hundred and seventy uninsured ambulatory patients were interviewed about their health status, income, and credit and payment histories at the point of care. Eighteen months later, data on payment outcomes were extracted from the medical financial records for each subject. Findings. Patients were more likely to make a payment if they reported higher income, health insurance for other services, or worrying about their credit. They were less likely to pay anything if they owed a large sum, were seeking care at the public site, or had received care in an emergency room. Conclusions. Specific characteristics of uninsured patients, the site of care, and the size of the bill are all associated with payment outcome.
Issue Date: 2010-11
Publisher: Johns Hopkins University Press
Citation Info: Weiner, S. J. & Andes, S. 2010. Predictors of Payment Behavior among the Medically Uninsured: A Prospective Cohort Study of Patients Seeking Ambulatory Services. Journal of Health Care for the Poor and Underserved, 21(4): 1395-1407. 10.1353/hpu.2010.0917
Type: Article
Description: This is a copy of an article published in the Journal of Health Care for the Poor and Underserved © 2010 Johns Hopkins University Press. DOI:10.1353/hpu.2010.0917
URI: http://hdl.handle.net/10027/8303
ISSN: 1548-6869
Sponsor: Supported by the Robert Wood Johnson Physician Faculty Scholars Program and the Veterans Administration.
Date Available in INDIGO: 2012-05-01
 

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