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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Variation in Neonatal Inpatient Charges at the State and Local Level

Eric S Hall, Matthew D Lang, Linda Levin

    Hospital Topics
    |July 18, 2015
    PubMed

    Insights

    Hospital charges for newborn infants in Ohio show significant variation, persisting at state and local levels. This highlights the need for greater pricing transparency in infant care costs.

    Area of Science:

    • Neonatal care
    • Healthcare economics
    • Hospital administration

    Background:

    • Significant variation in hospital charges for newborn infants has been previously identified nationally.
    • This variation impacts both term and preterm infants, suggesting systemic issues in pricing across different patient groups.

    Purpose of the Study:

    • To analyze hospital charges and length of stay for newborn infants in Ohio.
    • To determine if state and local variations in hospital charges persist among different infant categories.
    • To assess variations in length of stay for infants with specific critical conditions.

    Main Methods:

    • Analysis of hospital charge data for all Ohio newborn infants discharged alive between 2007 and 2012.
    • Categorization of charges based on Medicare Severity Diagnostic Related Group (MS-DRG).
    • Statistical analysis to identify significant variations (p <.0001).

    Main Results:

    • Significant variation in hospital charges was identified at state and local levels for both term and preterm infants.
    • Significant variation in length of stay was observed for infants with extreme immaturity or respiratory distress syndrome.
    • Charge data, while a proxy, indicate substantial differences in the cost of newborn care.

    Conclusions:

    • Persistent variations in hospital charges for newborn care underscore the need for greater transparency.
    • Understanding these cost variations is crucial for comparing hospital newborn care expenses.
    • Increased pricing transparency can empower informed decision-making for healthcare consumers and policymakers.

    Keywords:
    diagnosis-related groupshealth economicshospital chargesnewborns

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