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Market-Based Disparities in Foster Care Service Provision

Portland State University, mcbeath{at}pdx.edu

William Meezan

The Ohio State University

Objective: 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 non-profit 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 performance-based, 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.

Key Words: foster care • managed care • performance contracting • service disparities

This version was published on January 1, 2008

Research on Social Work Practice, Vol. 18, No. 1, 27-41 (2008)
DOI: 10.1177/1049731507304389


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