Economic Analysis of XXXX Repair in International Adoptees.

@entity1 @entity2419
DESIGN: Retrospective cohort study. SETTING: Major international tertiary care referral center for @entity2419 repair. @entity1 : One hundred thirty-eight @entity1 at the @entity1 's Hospital of Philadelphia who had palate repair performed between 2010 and 2013, excluding syndromic @entity1 , @entity1 undergoing palate revision, and @entity1 with incomplete payment information. INTERVENTIONS: None. MAIN OUTCOME MEASURE: Fees and charges for procedures. RESULTS: Surgeon payment was significantly higher for international adoptees (   =  2047.51 [ 128.35 to  3966.66], P = .038). Medicaid-adjusted surgeon payments averaged  1006 more for adoptees ([- 394.19 to  2406.98], P = .158). CONCLUSIONS: Hospital and anesthesiology costs for adoptee palate repair were highly variable but did not differ significantly from those for nonadoptees. Partly due to payer mix, surgeon reimbursement was somewhat higher for international adoptees. No difference in total payment was found.
