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Health Serv Res. 1991 Aug; 26(3): 277–302.
PMCID: PMC1069826

Uncompensated care provided by private practice physicians in Florida.


While a great deal of attention has been paid in recent years to establishing the magnitude and characteristics of uncompensated care in hospitals, comparatively little research has been undertaken to study physician uncompensated care. This article reports the results of a prospective patient-specific study of uncompensated care in Florida. Of 4,042 cases examined, 26.2 percent had charges voluntarily reduced below the usual and customary charge at the time of service. However, only 13.5 percent of those reductions were attributed to charity. Overall, 10.4 percent of the total billed amount was left unresolved. When payment source was considered, it was found that self-pay patients accounted for 30.6 percent of the cases but accounted for 52.0 percent of the unresolved amounts. Further analysis indicated that the self-pay patients were 35.5 times more likely to leave an outstanding balance than individuals with some type of insurance coverage. Odds of unresolved balances were also calculated as a function of income, specialty type, practice size, and type of visit.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Duncan RP, Kilpatrick KE. Unresolved hospital charges in Florida. Health Aff (Millwood) 1987 Spring;6(1):157–166. [PubMed]
  • Ohsfeldt RL. Uncompensated medical services provided by physicians and hospitals. Med Care. 1985 Dec;23(12):1338–1344. [PubMed]

Articles from Health Services Research are provided here courtesy of Health Research & Educational Trust


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