Referral of Pediatric Moyamoya for Revascularization: Financial and Quality Data Supporting Private Insurer Approval for Out-of-Network Care.

ABSTRACT:

Background

Moyamoya is a rare arteriopathy affecting the intracranial circulation with a risk of stroke in the pediatric population. High-volume centers provide improved outcomes after surgical revascularization compared with low-volume centers. However, private insurers are often reluctant to approve care out-of-network. We hypothesized that rare diseases that can be treated in a single procedure, such as revascularization for moyamoya, can yield improved clinical outcomes with substantial cost savings to insurance companies when approved for care at high-volume centers of excellence.

Methods

Longitudinal deidentified data of pediatric patients undergoing surgical revascularization for moyamoya from January 2018 to December 2020 (N = 125) were obtained from national commerc

SUBMITTER: Rangwala SD 

PROVIDER: S-EPMC12778480 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature