Holloway, Kayla R. https://orcid.org/0000-0003-2990-8541
Radack, Joshua
Barreto, Alejandra
Chaiyachati, Barbara H. https://orcid.org/0000-0001-7324-6245
Montoya-Williams, Diana https://orcid.org/0000-0002-5882-1181
Ellison, Angela M.
Burris, Heather H. https://orcid.org/0000-0003-4510-9547
Funding for this research was provided by:
U.S. Department of Health & Human Services | National Institutes of Health (K08MH129657, K23HD102526)
U.S. Department of Health & Human Services | National Institutes of Health
Article History
Received: 19 July 2024
Revised: 5 September 2024
Accepted: 13 September 2024
First Online: 20 September 2024
Competing interests
: The authors report no conflicts of interest and have no relevant financial disclosures. The Pennsylvania Health Care Cost Containment Council (PHC4) is an independent state agency responsible for addressing the problem of escalating health costs, ensuring the quality of health care, and increasing access to health care for all citizens regardless of ability to pay. PHC4 has provided data to this entity in an effort to further PHC4’s mission of educating the public and containing health care costs in Pennsylvania. PHC4, its agents, and staff, have made no representation, guarantee, or warranty, express or implied, that the data – financial, patient, payor, and physician specific information – provided to this entity, are errorfree, or that the use of the data will avoid differences of opinion or interpretation. This analysis was not prepared by PHC4. This analysis was done by investigators at the Children’s Hospital of Philadelphia. PHC4, its agents and staff, bear no responsibility or liability for the results of the analysis, which are solely the opinion of this entity.