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PubMed · 8314609

Why pay extra for cesarean-section deliveries?

M D Finkler·D D Wirtschafter
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Abstract

Third-party insurers typically pay at least 50% more for cesarean sections than for vaginal deliveries, suggesting that a reduced national cesarean-section rate could save payers more than $1 billion annually. This paper discusses the payment implications of a cost-effectiveness study, based on the experience within one health maintenance organization, in which cesarean-section rates were unrelated either to direct costs or to perinatal outcomes. Given these results, insurers should consider paying a flat fee for obstetric services unless differing risk levels or risk-adjusted outcomes justify different amounts.

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CaliforniaCesarean SectionCost-Benefit AnalysisFees and ChargesFemaleHealth Maintenance OrganizationsHumansObstetrics and Gynecology Department, HospitalPregnancyRiskComparative StudyJournal ArticleResearch Support, Non-U.S. Gov't

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M D Finkler, D D Wirtschafter. 1993. Why pay extra for cesarean-section deliveries?. https://pubmed.ncbi.nlm.nih.gov/8314609/

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