Medicare coverage is an independent predictor of prolonged hospitalization after primary total joint arthroplasty
The purpose of this study was to investigate the association between insurance type and length of stay (LOS) in primary total joint arthroplasty. A retrospective review of 848 patients was performed. Patients were divided into 3 groups based on their insurance type: Medicare, Medicaid, or commercial...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-12-01
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| Series: | Arthroplasty Today |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352344119300858 |
| _version_ | 1830161981079814144 |
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| author | Mohamad J. Halawi, MD Andrew D. Stone, BS Christian Gronbeck, BS Lawrence Savoy, BS Mark P. Cote, DPT |
| author_facet | Mohamad J. Halawi, MD Andrew D. Stone, BS Christian Gronbeck, BS Lawrence Savoy, BS Mark P. Cote, DPT |
| author_sort | Mohamad J. Halawi, MD |
| collection | DOAJ |
| description | The purpose of this study was to investigate the association between insurance type and length of stay (LOS) in primary total joint arthroplasty. A retrospective review of 848 patients was performed. Patients were divided into 3 groups based on their insurance type: Medicare, Medicaid, or commercial coverage. Medicare patients had a significantly higher rate of LOS > 2 days than the Medicaid and commercial groups (P < .0001). The effect of Medicare coverage on LOS remained significant even after controlling for baseline differences among the study groups. There were no differences in the rates of 90-day emergency room visits and readmissions between the 3 groups (P > .05). Arthroplasty surgeons not experienced with outpatient surgery should not be pressured to default to outpatient admission in Medicare patients. Keywords: Arthroplasty, Payer type, Medicare, Length of stay, Outpatient |
| first_indexed | 2024-12-17T15:12:18Z |
| format | Article |
| id | doaj.art-fac8a200ade94bfa9b2fcd60474ac63c |
| institution | Directory Open Access Journal |
| issn | 2352-3441 |
| language | English |
| last_indexed | 2024-12-17T15:12:18Z |
| publishDate | 2019-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroplasty Today |
| spelling | doaj.art-fac8a200ade94bfa9b2fcd60474ac63c2022-12-21T21:43:39ZengElsevierArthroplasty Today2352-34412019-12-0154489492Medicare coverage is an independent predictor of prolonged hospitalization after primary total joint arthroplastyMohamad J. Halawi, MD0Andrew D. Stone, BS1Christian Gronbeck, BS2Lawrence Savoy, BS3Mark P. Cote, DPT4Department of Orthopaedic Surgery, University of Connecticut Health Center, Farmington, CT, USA; Corresponding author. Department of Orthopaedic Surgery, University of Connecticut Health Center, 263 Farmington Avenue, Farmington, CT 06030, USA. Tel.: +1 860 679 3520.University of Connecticut School of Medicine, Farmington, CT, USAUniversity of Connecticut School of Medicine, Farmington, CT, USADepartment of Orthopaedic Surgery, University of Connecticut Health Center, Farmington, CT, USADepartment of Orthopaedic Surgery, University of Connecticut Health Center, Farmington, CT, USAThe purpose of this study was to investigate the association between insurance type and length of stay (LOS) in primary total joint arthroplasty. A retrospective review of 848 patients was performed. Patients were divided into 3 groups based on their insurance type: Medicare, Medicaid, or commercial coverage. Medicare patients had a significantly higher rate of LOS > 2 days than the Medicaid and commercial groups (P < .0001). The effect of Medicare coverage on LOS remained significant even after controlling for baseline differences among the study groups. There were no differences in the rates of 90-day emergency room visits and readmissions between the 3 groups (P > .05). Arthroplasty surgeons not experienced with outpatient surgery should not be pressured to default to outpatient admission in Medicare patients. Keywords: Arthroplasty, Payer type, Medicare, Length of stay, Outpatienthttp://www.sciencedirect.com/science/article/pii/S2352344119300858 |
| spellingShingle | Mohamad J. Halawi, MD Andrew D. Stone, BS Christian Gronbeck, BS Lawrence Savoy, BS Mark P. Cote, DPT Medicare coverage is an independent predictor of prolonged hospitalization after primary total joint arthroplasty Arthroplasty Today |
| title | Medicare coverage is an independent predictor of prolonged hospitalization after primary total joint arthroplasty |
| title_full | Medicare coverage is an independent predictor of prolonged hospitalization after primary total joint arthroplasty |
| title_fullStr | Medicare coverage is an independent predictor of prolonged hospitalization after primary total joint arthroplasty |
| title_full_unstemmed | Medicare coverage is an independent predictor of prolonged hospitalization after primary total joint arthroplasty |
| title_short | Medicare coverage is an independent predictor of prolonged hospitalization after primary total joint arthroplasty |
| title_sort | medicare coverage is an independent predictor of prolonged hospitalization after primary total joint arthroplasty |
| url | http://www.sciencedirect.com/science/article/pii/S2352344119300858 |
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