Veltre DR, et al. - About 515,037 patients who underwent elective total hip arthroplasty (THA) were included by the researchers in order to estimate the effect of patient insurance status on complications after primary elective THA using the Nationwide Inpatient Sample. In comparison to Medicare patients, privately insured patients had lesser medical complications, whereas patients with Medicaid or no insurance exhibited no notable difference. For privately insured patients, similar trends were obtained for both surgical complications and mortality, promoting lower complication rates. Also, patients with private insurance went to higher volume hospitals for THA when compared to those with Medicare insurance. Therefore, higher risk trends of medical complications, surgical complications, and mortality after primary elective THA were observed in patients with government-sponsored insurance (Medicare or Medicaid) or no insurance in comparison to privately insured patients. For the stratification of patients before THA procedures, insurance status should be acknowledged as an independent risk factor.