Association of Insurance Type with Inpatient Surgical 30-day Readmissions, Emergency Department Visits/Observation Stays, and Costs.

ABSTRACT:

Objective

To assess the association of Private, Medicare, and Medicaid/Uninsured insurance type with 30-day Emergency Department visits/Observation Stays (EDOS), readmissions, and costs in a safety-net hospital (SNH) serving diverse socioeconomic status patients.

Summary background data

Medicare's Hospital Readmission Reduction Program (HRRP) disproportionately penalizes SNHs.

Methods

This retrospective cohort study used inpatient National Surgical Quality Improvement Program (2013-2019) data merged with cost data. Frailty, expanded Operative Stress Score, case status, and insurance type were used to predict odds of EDOS and readmissions, as well as index hospitalization costs.

Results

The cohort had 1,477 Private; 1,164 Medicare; and 3,488 Medicaid/Uninsured c

SUBMITTER: Jacobs MA 

PROVIDER: S-EPMC10427129 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature