Ahmad TR, et al. - In this retrospective review of patients (n = 1,894) who underwent elective surgery for gynecologic malignancies between 2015 and 2019, researchers investigated the impact of primary payer status on postoperative outcomes. The likelihood to mobilize > 24 h following surgery, to need ICU admission, and to have longer lengths of stay was more in Medicaid and Medicare patients vs patients with private insurance, as revealed in a multivariate model. The chance of having higher total hospital costs was also more in Medicaid patients. Overall, findings revealed a link between Medicaid and Medicare payer status and worse postoperative outcomes in patients with gynecologic malignancies. Noteworthy are poor outcomes of Medicaid patients— a cohort defined by limited income. The suggested cause is possibly multifactorial, originating from a complicated interplay of factors ranging from system issues such as access to care to the unique health status of a population having a high burden of disease and socioeconomic adversity.