title: Economic Analysis of Cleft Palate Repair in International Adoptees.
abstract: Retrospective cohort study.
  
  
  
  Major international tertiary care referral center for cleft palate repair.
  
  
  
  One hundred thirty-eight patients at the Children's Hospital of Philadelphia who had palate repair performed between 2010 and 2013, excluding syndromic patients, patients undergoing palate revision, and patients with incomplete payment information.
  
  
  
  None.
  
  
  
  Fees and charges for procedures.
  
  
  
  Surgeon payment was significantly higher for international adoptees (Δ = $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).
  
  
  
  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.
authors.forename: Sandra
authors.initials: S
authors.lastname: Tomlinson-Hansen
authors.forename: J Thomas
authors.initials: JT
authors.lastname: Paliga
authors.forename: Youssef
authors.initials: Y
authors.lastname: Tahiri
authors.forename: Kaitlyn M
authors.initials: KM
authors.lastname: Paine
authors.forename: Scott P
authors.initials: SP
authors.lastname: Bartlett
authors.forename: Jesse A
authors.initials: JA
authors.lastname: Taylor
mesh_terms: D000073922:Child, Adopted; D002675:Child, Preschool; D002971:Cleft Lip / Q000191:economics* / Q000601:surgery*; D002972:Cleft Palate / Q000191:economics* / Q000601:surgery*; D005249:Fees and Charges; D005260:Female; D017048:Health Care Costs; D006801:Humans; D007223:Infant; D008297:Male; D056948:Orthognathic Surgical Procedures / Q000191:economics*; D012189:Retrospective Studies
keywords: cleft palate repair; health care costs; international adoption; international health