Medicare elective surgery outcomes and state prospective reimbursement programs.

Relationship to cost saving As can be seen in Table 4 there appears to be no simple association between cost saving and excess mortality; consider the programs in Rhode Island (costs 20 percent less than expected, with an insignificant estimate of 0.5 excess deaths per 1,000), Western Pennsylvania (costs 2 percent greater, with excess mortality highly significant), and Connecticut (costs 8 percent less, with no excess mortality).

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