Abstract
ObjectivesThe purpose of this manuscript is to summarize the impact of the Massachusetts Health Care Reform (MHR) on spine surgical care. FindingsThe MHR improved insurance coverage across Massachusetts for the plurality of surgical specialties including spine surgery. However, rates of surgical interventions for spine patients remained unchanged post-reform. Quality measures of healthcare such as length of stay, failure to rescue, mortality, and complication rates were reduced among patients who sustained cervical spine fractures. ConclusionsThe MHR improved insurance coverage for spine care, however the rates of spine surgical intervention remained stable. Further research is needed to explore the impact of the reform on cost savings for spine care and to confirm these quality of life improvements for other spinal conditions.
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