Study: For-profit hospitals do more C-sections than nonprofits in s...
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#2 Sep 20, 2010
This makes perfect sense. The % is also pushed higher because NFPs also "game" the system. Consider that reimbursement for csections is higher b/c the OR is involved and csections require 3-days vs an overnight. If you look at the csection rate by payer class you'll see medicaid has a much lower csection rate -- you'll also see higher % of mortality and low birth weight (LBW) babies in un-assisted pregnancies (w/o invitro or artificial insemination.)
In one hospital we studied we found 27% csection and we claculated the excess cost and presented to the CEO, CFO and COO and the collective response was "that's good, our high % of insured patients and our contracted rates make these high margin cases for us".
In urban hospitals with a high medicaid pop you will see very low % scheduled deliveries (and low % of for-profit players) and probably a higher % of LBW and mortality rates b/c of lack of access to prenatal care for the poor.
Silly that the hospitals don't focus on making sure young, expecting women are managed better. The the cost saving of avoiding a very few LBW babies fro un and under insured patients would easily cover the cost of hiring and staffing a clinic solely for the purpose of providing prenatal care, vitamins and education to inner city patients.
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