Market-Based Disparities in Foster Care Service Provision  

Oleh:

McBeath, Bowen ; Meezan, William

Jenis: Article from Journal - e-Journal
Dalam koleksi: Research on Social Work Practice vol. 18 no. 1 (Jan. 2008), page 27-41.
Topik: foster care; managed care; performance contracting; service disparities
Fulltext: 27.pdf (132.21KB)

Isi artikel

This study examines in-agency and out-of-agency service provision to a sample of 243 foster children and their families. Method: Data come from a longitudinal study of 243 foster children and families served by nonprofit agencies that were operating under either a performance-based, managed care purchase-of-service contract or a fee-for-service reimbursement mechanism. Results: Children and families served by agencies with performancebased, managed care contracts receive fewer of three of five types of services than those served by agencies reimbursed through fee-for-service contracts. Conclusions: Results suggest that performance-based, managed care contracting is related to suppressed service provision and may lead to service disparities between foster children and families served under different market environments.

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