Monday, September 23, 2013

Primary Payer Status Affects Mortality for Major Surgical Operations

This is the famous “Medicaid is worse than no insurance” study. It’s worth jumping to the full study and reading the Discussion section, as the authors do a pretty good job of pointing out why Medicaid patients, like the uninsured, are so darn sick and do so poorly in the health system. But, it does not say what they (the Right) think it says!

CONCLUSION

In this study, we conclude that Medicaid and Uninsured payer status confers increased risk adjusted in-hospital mortality compared with Private Insurance for major surgical operations in the United States. Medicaid is further associated with higher postoperative in-hospital complications as well as the greatest adjusted length of stay and total costs despite risk factors or the specific major operation. These differences serve as an important proxy for larger socioeconomic and health system-related issues that could be targeted to improve surgical outcomes for US patients.
Primary Payer Status Affects Mortality for Major Surgical Operations

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