Efforts to Cover the Uninsured Often Reach Only a Fraction of the Needy

Research on the effectiveness of public/private managed care programs

From 1998 to 2000, researchers from the New York Academy of Medicine documented, profiled and assessed public-private community initiatives to provide health care for the uninsured.

The researchers surveyed 20 public-private collaborations, focusing on such topics as program history and development, program structure, and successes and challenges.

Key Findings:

  • Investigators found wide variation in the ways programs are funded and organized as well as in how services are targeted.
  • Some programs reported improvements in quality of care and expansion of the traditional safety net for the uninsured, but most reached only a small percentage of the uninsured within their communities.

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