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. 2021 Sep 1;175(9):972-974.
doi: 10.1001/jamapediatrics.2021.1133.

Assessment of Underpayment for Inpatient Care at Children's Hospitals

Paige VonAchen  1 , Dipika Gaur  2 , Walter Wickremasinghe  1 , Matt Hall  3 , Denise M Goodman  4 , Rishi Agrawal  4 , Jay G Berry  1
Affiliations

Assessment of Underpayment for Inpatient Care at Children's Hospitals

Paige VonAchen et al. JAMA Pediatr. .

Abstract

This cross-sectional study compares cost and payer reimbursement for hospital admissions of children and assesses associations of underpayment by patients’ demographic and clinical characteristics.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Goodman reports receiving personal fees from Elsevier and McGraw Hill outside of the submitted work. No other disclosures were reported.

Figures

Figure.
Figure.. Percentage of Pediatric Inpatient Admissions to Children’s Hospitals Resulting in Underpayment by Characteristic, 2018
NICU indicates neonatal intensive care unit; PICU, pediatric intensive care unit.
See this image and copyright information in PMC

References

    1. Colvin JD, Hall M, Berry JG, et al. . Financial loss for inpatient care of Medicaid-insured children. JAMA Pediatr. 2016;170(11):1055-1062. doi:10.1001/jamapediatrics.2016.1639 - DOI - PubMed
    1. Selden TM, Karaca Z, Keenan P, White C, Kronick R. The growing difference between public and private payment rates for inpatient hospital care. Health Aff (Millwood). 2015;34(12):2147-2150. doi:10.1377/hlthaff.2015.0706 - DOI - PubMed
    1. US Centers for Medicare & Medicaid Services . Cost reports. Updated April 16, 2021. Accessed April 26, 2021. https://www.cms.gov/Research-Statistics-Data-and-Systems/Downloadable-Pu...
    1. Feudtner C, Feinstein JA, Zhong W, Hall M, Dai D. Pediatric complex chronic conditions classification system version 2: updated for ICD-10 and complex medical technology dependence and transplantation. BMC Pediatr. 2014;14:199. doi:10.1186/1471-2431-14-199 - DOI - PMC - PubMed
    1. Reinhardt UE. The many different prices paid to providers and the flawed theory of cost shifting: is it time for a more rational all-payer system? Health Aff (Millwood). 2011;30(11):2125-2133. doi:10.1377/hlthaff.2011.0813 - DOI - PubMed