Patients and physicians want to avoid postsurgical complications, but a new study shows that certain types of reimbursements can make complications financially lucrative for hospitals.
Researchers found that compared with no postsurgical complications, having complications was associated with about a $39 000 higher contribution margin (revenue minus variable costs) per patient with private insurance and about a $1700 higher contribution margin per patient with Medicare. Medicaid coverage was associated with a loss of about $24 000 in the contribution margin for a patient with a complication and an estimated $27 000 loss for a patient paying out of pocket.
From JAMA ’s Daily News Site. JAMA. 2013;309(22):2316. doi:10.1001/jama.2013.6715