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Research ArticleOriginal Research

Wyoming Physicians Are Significant Providers of Safety Net Care

Sharon A. Dobie, Amy Hagopian, Beth A. Kirlin and L. Gary Hart
The Journal of the American Board of Family Practice November 2005, 18 (6) 470-477; DOI: https://doi.org/10.3122/jabfm.18.6.470
Sharon A. Dobie
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Amy Hagopian
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Beth A. Kirlin
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L. Gary Hart
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Article Figures & Data

Figures

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  • Figure 1.
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    Figure 1.

    Perceived Relative Contribution of Charity Care by Income of Physician.

  • Figure 2.
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    Figure 2.

    The Relationship between Recent Changes in the Respondent Physicians’ Clinical Income and Changes in the Amount of Charity Care Provided.

Tables

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    Table 1.

    Characteristics of Wyoming Physician Respondents by Income

    Annual Income ≥$130,000 (%)Annual Income <$130,000 (%)Total Number of Respondents (N)
    Number314778
    Gender*
        Male46.853.262
        Female7.792.313
    Years in practice
        0 to 738.161.921
        8 to 1542.957.121
        16 to 2533.366.724
        >2555.644.49
    Location of practice†
        Urban16.783.318
        Rural46.453.656
    Employer
        Solo, Self-Employed45.254.831
        Private Clinic26.973.126
        Hospital66.733.39
        Other33.366.79
    Practice type
        Solo46.953.132
        Single Specialty Group42.957.128
        Multi-Specialty Group16.783.36
        Other22.277.89
    Hours of direct patient care worked per week†
        5 to 2522.277.89
        26 to 350100.07
        >3546.653.458
    Change in financial net, prior 2 years
        Increased52.447.621
        Unchanged39.360.728
        Decreased27.372.722
    • * P < .01.

    • † P < .05.

    • View popup
    Table 2.

    Physicians’ Reporting of Proportion of Ambulatory Visits by Payment Types

    Payment Type and Proportion of VisitsPhysicians
    Number%
    Public (Medicare and Medicaid)* (N = 66)
        ≤30%3553.0
        >30%3147.0
    Sliding scale (N = 64)
        None3859.4
        <10%1523.4
        ≥10%1117.2
    Free care (N = 63)
        None1625.4
        <10%4469.8
        ≥10%34.8
    Debt forgiveness (N = 64)
        None1523.4
        <10%4570.3
        ≥10%46.3
    Bad debt (N = 63)
        None711.1
        <10%3758.7
        ≥10%1930.2
    • * No physicians reported 0% to 5% billed to Medicare and Medicaid.

    • View popup
    Table 3.

    Distribution of Physicians by Proportion of Visits That Were Nonpaying* and by Physician Characteristics

    Physician Characteristics10% or Greater of Visits by Nonpaying PatientsLess than 10% of Visits by Nonpaying Patients
    Number3433
    GenderN = 34N = 32
        Male (%)82.484.4
        Female (%)17.615.6
    Location of practiceN = 33N = 33
        Urban18.227.3
        Rural81.872.0
    Income per yearN = 33N = 31
        <$130,00069.748.4
        ≥$130,00030.351.6
    Perception of distribution of charity care in the community†N = 33N = 31
        Even33.312.9
        Uneven67.787.1
    Perception of personal share of charity care in the communityN = 33N = 32
        Greater than others60.659.4
        Less than or equal to others39.440.6
    • * Nonpaying includes free care, debt forgiveness, and bad debt.

    • † P < .05.

    • View popup
    Table 4.

    Costs to Physicians Participating in the Safety Net

    Physicians
    Number%
    Gross billings not billed* (N = 46)
        ≤$1,000613.0
        $1,001 to $10,0002656.6
        $10,001 to $50,0001430.4
    Gross billings, billed not received, and forgiven debt (N = 41)
        ≤$1,0001024.4
        $1,001 to $10,0001946.3
        $10,001 to $50,0001229.3
    Gross billings, billed and not collected† (N = 45)
        ≤$1,00036.5
        $1,001 to $10,0001021.8
        $10,001 to $50,0002043.4
        >$50,0001228.3
    Percentage of billed that was collected (N = 60)
        40% to 60%711.7
        61% to 89%3751.6
        ≥90%1626.7
    • * Did not plan on being paid.

    • † Bad debt.

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The Journal of the American Board of Family Practice: 18 (6)
The Journal of the American Board of Family Practice
Vol. 18, Issue 6
November-December 2005
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Wyoming Physicians Are Significant Providers of Safety Net Care
Sharon A. Dobie, Amy Hagopian, Beth A. Kirlin, L. Gary Hart
The Journal of the American Board of Family Practice Nov 2005, 18 (6) 470-477; DOI: 10.3122/jabfm.18.6.470

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Wyoming Physicians Are Significant Providers of Safety Net Care
Sharon A. Dobie, Amy Hagopian, Beth A. Kirlin, L. Gary Hart
The Journal of the American Board of Family Practice Nov 2005, 18 (6) 470-477; DOI: 10.3122/jabfm.18.6.470
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