--- title: "Drive-through delivery: where are the \"savings\"? | Sutter Health" description: "When the full costs (incl. to pts, families) of an earlier discharge, are taken into acct, the savings associated with a shortened hosp birth stay may be small." url: "https://www.sutterhealth.org/research/publications/drive-through-delivery-savings-1055312640" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Drive-through delivery: where are the "savings"? # Drive-through delivery: where are the "savings"? Tai-Seale M, Rodwin M, & Wedig G. _Med Care Res Rev. 56(1):30-46._ 1999-03-01 ## Abstract Using a natural experiment, this study estimates the effects of Medicaid managed care on total hospital costs of a birth. The authors study 5,585 vaginal deliveries from 1993 through 1995. Hospital length of stay has been reduced by 21 percent after the introduction of managed care. The resultant program saving, however, is $280 in total hospital cost per delivery, 12 percent of the total hospital costs before managed care. Furthermore, when the full costs of an earlier discharge, including costs to patients and their families, are taken into account, the savings associated with a shortened hospital stay may be even smaller. [PubMed abstract](https://www.ncbi.nlm.nih.gov/pubmed/?term=tai-seale%2C+rodwin%2C+1999) ## Research topics - [Health Policy](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Policy%5C%22%22) - [Obstetrics and Gynecology](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Obstetrics+and+Gynecology%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [International Committee for Monitoring Assisted Reproductive Technologies World Report: Assisted Reproductive Technology 2006.](https://www.sutterhealth.org/research/publications/world-report-assisted-reproductive-tech-2006-1055312923) Mansour R, Ishihara O, Adamson GD, Dyer S, de Mouzon J, Nygren KG, Sullivan E, Zegers-Hochschild F. Hum Reprod. 29(7):1536-51. Epub 2014 May 2. 2014 Jul 01 - Publication ### [The long-term effects of Medicaid managed care on obstetrics care in three California counties.](https://www.sutterhealth.org/research/publications/medicaid-managed-care-obstetrics-ca-counties-1055312574) Tai-Seale M, LoSasso AT, Freund DA, Gerber SE. Health Serv Res. 36(4):751-71. 2001 Aug 01 - Publication ### [The impact of consumer affordability on access to assisted reproductive technologies and embryo transfer practices: an international analysis.](https://www.sutterhealth.org/research/publications/consumer-afford-access-assisted-reproductive-tech-1055312907) Chambers GM, Hoang VP, Sullivan EA, Chapman MG, Ishihara O, Zegers-Hochschild F, Nygren KG, Adamson GD. Fertil Steril. 101(1):191-198.e4. doi: 10.1016/j.fertnstert.2013.09.005. Epub 2013 Oct 21. 2014 Jan 01 - Publication ### [Hysterectomy subsequent to endometrial ablation.](https://www.sutterhealth.org/research/publications/hysterectomy-subsequent-to-endometrial-ablation-1055312736) J Minim Invasive Gynecol. 2012 Jul-Aug;19(4):459-64. doi: 10.1016/j.jmig.2012.03.013. Epub 2012 May 30. Hysterectomy subsequent to endometrial ablation. Shavell VI1, Diamond MP, Senter JP, Kruger ML, Johns DA. J Minim Invasive Gynecol. 2012 Jul-Aug;19(4):459-64. doi: 10.1016/j.jmig.2012.03.013. Epub 2012 May 30. 2012 Aug 20 - Publication ### [Forces influencing generic drug development in the United States: a narrative review.](https://www.sutterhealth.org/research/publications/influences-generic-drug-developmt-us-1055312519) Lee CY, Chen X, Romanelli RJ, Segal JB. J Pharm Policy Pract. 9:26. doi: 10.1186/s40545-016-0079-1. eCollection 2016. 2016 Sep 22 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/drive-through-delivery-savings-1055312640#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Drive-through delivery: where are the \"savings\"?"}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/drive-through-delivery-savings-1055312640#medicalscholarlyarticle","name":"Drive-through delivery: where are the \"savings\"?","headline":"Drive-through delivery: where are the \"savings\"?","abstract":"Using a natural experiment, this study estimates the effects of Medicaid managed care on total hospital costs of a birth. 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