Protecting Children With Chronic Illness in a Competitive Marketplace

John M. Neff, Gerard Anderson

Research output: Contribution to journalArticlepeer-review

94 Scopus citations


Health care for children with chronic illnesses is significantly more expensive than for the average child. Children with chronic illnesses are especially vulnerable in a competitive health care environment because of the higher ongoing cost associated with treating their illnesses and the inherent pressures to reduce services to manage within the capitated rate. To minimize the adverse impact a competitive market could have on these children, a “carve-out” for specific medical conditions is discussed. A capitation pricing system that reflects their higher costs is proposed, as well as a delivery system that is focused on their needs. (JAMA. 1995;274:1866-1869).

Original languageEnglish (US)
Pages (from-to)1866-1869
Number of pages4
JournalJAMA: The Journal of the American Medical Association
Issue number23
StatePublished - Dec 20 1995

ASJC Scopus subject areas

  • General Medicine


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