Publication date: Available online 5 August 2018
Source: Seminars in Spine Surgery
Author(s): Justin A. Blucher, Andrew J. Schoenfeld
Abstract
Objectives
The purpose of this manuscript is to summarize the impact of the Massachusetts Health Care Reform (MHR) on spine surgical care.
Findings
The MHR improved insurance coverage across Massachusetts for the plurality of surgical specialties including spine surgery. However, rates of surgical interventions for spine patients remained unchanged post-reform. Quality measures of healthcare such as length of stay, failure to rescue, mortality, and complication rates were reduced among patients who sustained cervical spine fractures.
Conclusions
The MHR improved insurance coverage for spine care, however the rates of spine surgical intervention remained stable. Further research is needed to explore the impact of the reform on cost savings for spine care and to confirm these quality of life improvements for other spinal conditions.
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