AI Article Synopsis
- Massachusetts' health insurance mandate and Commonwealth Care program have been operational for two years, focusing on their financial impact on the neurosurgery division.
- Results showed that Commonwealth Care patients represented 2.2% of neurosurgical inpatients and had similar acuity and lengths of stay compared to average patients, while MassHealth patients had longer stays but lower acuity.
- Overall, the increase in insurance enrollment led to a net gain in reimbursement for the neurosurgical division due to enhanced free care reimbursement.
Article Abstract
Object: Massachusetts' health insurance mandate and subsidized insurance program, Commonwealth Care, have been active for 2 years.
Methods: The financial impact on the neurosurgery division and demographics of the relevant patient groups were assessed. The billing records of neurosurgical patients from January 2007 to September 2008 were collected and analyzed.
Results: Commonwealth Care comprised 2.2% of neurosurgical inpatients, and these patients did not have significantly different acuity or lengths of stay from the average. Length of stay of MassHealth patients was significantly greater, although acuity was significantly lower than the average. Increased free care reimbursement and increased MassHealth/Commonwealth Care enrollment resulted in a net gain in reimbursement of hospital charges.
Conclusions: The increased insurance rates have resulted in increased reimbursement for the neurosurgical division.
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| http://dx.doi.org/10.3171/2009.6.JNS09499 | DOI Listing |
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