Frontiers in Public Health
CHS-DRG 2.0 and insurance-specific patient cost sharing in gestational diabetes admissions: a regression discontinuity in time study
Objectives Diagnosis-related group reform aims to restrain inpatient spending, but obstetric evaluations commonly emphasize average hospital costs rather than insurance-specific patient cost sharing. We evaluated early discontinuities associated with CHS-DRG 2.0 in hospitalization costs, out-of-pocket (OOP) payment, self-pay ratio, and selected perinatal outcomes among gestational diabetes mellitus (GDM) admissions. Methods We analyzed 8,690 singleton GDM delivery admissions at a tertiary maternal and child health …