Objective: To investigate whether children in Michigan with private insurance have better hospitalization-related outcomes than those with public or no insurance.
Study Design: Population-based hospitalization rates were calculated for newborns and children aged <18 years in Michigan for the years 2001-2006 and stratified by age, disease grouping, and health insurance status using inpatient records from the Michigan Inpatient Database and population estimates from the US Census Current Population Survey.
Results: Michigan children with public/no insurance had significantly higher overall hospital admission rates and admission rates for ambulatory-sensitive conditions, and were more likely to be admitted through the emergency room, compared with those with private health insurance. Similarly, newborns with public/no insurance had significantly higher rates of hospitalization-related outcomes. Hospital charges per child were higher in the public/no insurance population, translating to potential excess charges of between $309.8 and $401.8 million in 2006.
Conclusions: There are disparities in health outcomes and charges between Michigan children and newborns with public/no insurance and those with private health insurance, presenting a significant opportunity to improve the efficiency and efficacy of care.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.jpeds.2010.08.002 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Insurance-Associated Disparities in Opioid Use and Misuse Among Patients Undergoing Gynecologic Surgery for Benign Indications.
Obstet Gynecol
September 2020
Columbia University Vagelos College of Physicians and Surgeons, the Joseph L. Mailman School of Public Health and the Herbert Irving Comprehensive Cancer Center, Columbia University, NewYork-Presbyterian Hospital, Columbia University Irving Medical Center, New York, New York; and Rutgers Robert Wood Johnson Medical School, New Brunswick, and the Environmental and Occupational Health Sciences Institute (EOHSI), Rutgers, Piscataway, New Jersey.
Objective: To compare perioperative use and persistent postoperative opioid use among Medicaid-insured women and commercially insured women who underwent gynecologic surgery for benign indications.
Methods: The Truven Health MarketScan database, a nationwide data source collecting commercial insurance claims across all states and Medicaid insurance claims from 12 states, was used to identify opioid-naïve women without cancer aged 18-64 years who underwent common gynecologic surgeries from 2012 to 2016 and filled a prescription for an opioid perioperatively. Persistent opioid use was defined as filling an opioid prescription 90-180 days after the surgery.
Insurance-associated disparities in hospitalization outcomes of Michigan children.
J Pediatr
February 2011
Department of Quality, Helen DeVos Children's Hospital, Grand Rapids, MI, USA.
Objective: To investigate whether children in Michigan with private insurance have better hospitalization-related outcomes than those with public or no insurance.
Study Design: Population-based hospitalization rates were calculated for newborns and children aged <18 years in Michigan for the years 2001-2006 and stratified by age, disease grouping, and health insurance status using inpatient records from the Michigan Inpatient Database and population estimates from the US Census Current Population Survey.
Results: Michigan children with public/no insurance had significantly higher overall hospital admission rates and admission rates for ambulatory-sensitive conditions, and were more likely to be admitted through the emergency room, compared with those with private health insurance.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!