کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6208691 | 1603981 | 2016 | 4 صفحه PDF | دانلود رایگان |
This study sought to identify specific costs for 90-day readmissions following total hip arthroplasty in a bundled payment system. Hospital billing records revealed 139 readmissions (8.93%) in 1781 patients. Mean costs for surgical readmissions were greater (PÂ =Â 0.002) compared with medical reasons, but similar for Medicare/Medicaid and private payers (PÂ =Â 0.975). Costs for imaging, laboratory workup, medication and transfusions, and hospital cost correlated with increasing SOI (PÂ <Â 0.05). Patients transferred from outside hospitals or rehabilitation had higher hospital (PÂ =Â 0.006) and operating room costs (PÂ =Â 0.001) compared to patients admitted from ED or clinic. Hospitals that care for complex patients with Medicare/Medicaid may experience increased costs for unplanned 90-day readmissions highlighting considerations for payer mix.
Journal: The Journal of Arthroplasty - Volume 31, Issue 1, January 2016, Pages 49-52