Nonelective spinal surgery is an independent preoperative predictor of negative financial performance in BPCIA. Nonelective spinal surgeries are more likely than elective surgeries to have higher length of stay, nonhome discharge, 90-day hospital readmission, 90-day additional nonspine surgeries, and less time spent at home during the bundled period, all of which contribute to higher health care utilization. The Centers for Medicare and Medicaid Services should consider incorporating nonelective spine surgery into risk-adjustment models.
Keyphrases
- affordable care act
- healthcare
- health insurance
- spinal cord
- patients undergoing
- minimally invasive
- spinal cord injury
- primary care
- coronary artery disease
- metabolic syndrome
- skeletal muscle
- type diabetes
- adipose tissue
- surgical site infection
- weight loss
- percutaneous coronary intervention
- electronic health record
- atrial fibrillation