Amanda Beatty

Care for the uninsured is a county responsibility in Florida. Care for the uninsured is a county responsibility in Florida. This report examines the approaches used by three south Florida counties - Broward, Miami-Dade and Palm Beach - to fund care for the indigent and compares their financing mechanisms, types of services provided, patient travel patterns and costs and productivity across hospital ownership and insurance type.

This is an examination of the governance of public funds for health care in Miami-Dade County. Principles of good governance are discussed and approaches of other locales to providing health care to the uninsured are summarized.

An evaluation of a project to improve access to health care for the uninsured and underserved in Miami-Dade County, Florida; An evaluation of Community Voices Miami (CVM), a project aimed at enhancing health care access and quality for the underserved in Miami-Dade County, Florida. The report concludes that CVM affected intermediate outcomes--raising awareness of issues, getting safety-net providers to collaborate, nurturing neighborhood-based solutions, and advocating for establishment of an independent health care planning body; but measurement of ultimate outcomes--access to health care--remains for future study.