Accession Number:

ADA402187

Title:

Hospital Care for the Uninsured in Miami-Dade County. Hospital Finance and Patient Travel Patterns

Descriptive Note:

Corporate Author:

RAND CORP SANTA MONICA CA

Report Date:

2002-01-01

Pagination or Media Count:

80.0

Abstract:

One-quarter of the population in Miami-Dade County, Florida, lacks health insurance, a fraction well above the national average about one-sixth of the nations population is without health insurance. To address the problem of financing health care for the uninsured in Miami-Dade and elsewhere, the state of Florida in 1991 passed legislation allowing local jurisdictions to impose a surtax on sales. The legislation restricted the use of the proceeds of any Miami-Dade County surtax to support the activities of the countys sole public health-care facility, Jackson Memorial Hospital JMH. Miami-Dade County voters approved the surtax, which has helped stabilize the financially troubled hospital. In the past ten years, JMH has grown and improved financially and is a leader in treating eye disorders and pediatric patients. Recently, advocates for better access to health care by the poor, along with representatives from other not-for-profit hospitals, have suggested that surtax revenues be distributed across a wider range of institutions. But do hospitals other than JMH provide uncompensated care, and at what level And might the greater access to surtax-funded care at JMH be causing patients to pass up facilities much nearer to their homes and travel long distances for care

Subject Categories:

  • Administration and Management
  • Medicine and Medical Research

Distribution Statement:

APPROVED FOR PUBLIC RELEASE