Inferior Clinical Outcomes for Patients with Medicaid Insurance After Surgery for Degenerative Lumbar Spondylolisthesis: A Prospective Registry Analysis of 608 Patients

Commentary: Association Between Neighborhood-Level Socioeconomic Disadvantage and Patient-Reported Outcomes in Lumbar Spine Surgery

“…Neurosurgeons who treat a large portion of Medicaid patients fared worse in the Merit-Based Incentive Performance System 6 and Medicaid patients had worse outcomes in the Quality Outcomes Database. 7 Safety-net hospitals are consistently penalized under value-based reimbursement. 7 Hospitals and physicians should not be punished for serving socioeconomically disadvantaged patients, especially because, as Zhang et al 1 showed, the patients from low ADI areas had worse baseline stats and worse outcome stats but they still improved.…”

“…7 Safety-net hospitals are consistently penalized under value-based reimbursement. 7 Hospitals and physicians should not be punished for serving socioeconomically disadvantaged patients, especially because, as Zhang et al 1 showed, the patients from low ADI areas had worse baseline stats and worse outcome stats but they still improved.…”