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Old 09-24-2013, 03:43 PM
 
Location: 35 yrs CO, 3 yrs CT
1,465 posts, read 1,355,973 times
Reputation: 1590
Angry NEWS: Judge tosses lawsuit re "Observation" status

Take a look at Judge Dismisses Hospital ‘Observation Care’ Lawsuit | Connecticut Health Investigative Team

You know something is wrong when even the AHA is against this thing called Observation status. If you are not aware, it amounts to in-patient care & costs, but with out-patient side effects (re SNF eligibility) & co-payments.
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Old 09-24-2013, 04:31 PM
 
Location: California
2,713 posts, read 1,820,993 times
Reputation: 4735
Disgusting!

Totally disgusting.

So, you need to fake some pain to make it past the three day cut off? What idiot comes up with this crap?
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Old 09-25-2013, 03:14 AM
 
Location: NY & Fl
10,590 posts, read 6,857,135 times
Reputation: 8427
Disturbing. The situation needs a resolution
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Old 09-25-2013, 09:18 AM
 
2,368 posts, read 5,182,048 times
Reputation: 2859
Quote:
Originally Posted by Heidi60 View Post
Disgusting!

Totally disgusting.

So, you need to fake some pain to make it past the three day cut off? What idiot comes up with this crap?
The way they handle "observation" status -- it wouldn't matter if you were there 3 days, or 5 ... they could still call it "observation", and that would void any claim to SNF benefits under medicare (and they are already quite limited)

Thank goodness when my mother had issues the hospitals had not yet thought up this tactic of shifting more of the bill onto consumers.
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Old 09-25-2013, 09:46 AM
 
Location: NY & Fl
10,590 posts, read 6,857,135 times
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It may not be completely the fault of the hospitals.
Some part of it may come under "unintended consequences' of Medicare (government) policy.
AARP has a good article about it.
Medicare Inpatient vs. Outpatient Under Observation and Hospital Costs - AARP
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Old 09-25-2013, 10:09 AM
 
Location: California
2,713 posts, read 1,820,993 times
Reputation: 4735
Since you can't take it with you, the government wants it before your kids get their inheritance!

We really need to pay attention to who we vote for in the next election as we outnumber them, and, shoud have collective power to insist on a fair playing field after contributing all our lives to support others.
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Old 09-25-2013, 10:18 AM
 
2,368 posts, read 5,182,048 times
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Since it is hosptials that are using this loophole to affect the patients, I don't really see how politics come into this.

Medicare has acknowledged an "observation" status for years. Only recently did hospitals being to classify patients who would previously have been admitted as "observational", likely in part to get around the rules that would penalize hosptials if an admitted patient were readmitted within a certain amount of time.

"Hahahah - jokes on you, we never admitted her in the first place!"

Hospitals did this to preserve their own payments, but the *likely unintended* consequence is that when the patient then moves on for needed rehab in a SNF - they do not qualify.

It is not as though the government (the current or previous) sent a directive telling hospitals to stop admitting elderly patients.
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Old 09-25-2013, 10:25 AM
 
Location: NY & Fl
10,590 posts, read 6,857,135 times
Reputation: 8427
Quote:
Originally Posted by Briolat21 View Post

It is not as though the government (the current or previous) sent a directive telling hospitals to stop admitting elderly patients.
Didn't read the article, did you?
Something not in the article but making one wonder.... is the old saying of 'follow the money'.
Where is a lot of money being saved by this trend?
Medicare not having to pay for weeks of a SNF, yes?
Where were all those $$$$ cut from Medicare to help pay for Obamacare to come from?
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Old 09-25-2013, 12:20 PM
 
2,368 posts, read 5,182,048 times
Reputation: 2859
Actually I read the entire article.

It talks about the fact that the Judge, relied on a previous finding that upheld the right of HHS to permit Drs/Hospitals to determine when patients should be admitted or kept under observation.

So what that's saying is that Medicare is *not* making the decision that a patient should be admitted or merely observed, but deferring that decision to the Drs.


Which is pretty much opposite to implying that the GOVERNMENT is directing this.

Is it an unintended consequence of the fact that medicare recognizes a difference between observational and admitted status? Yes, likely. That is not the same thing as a government directive.

As far as the medicare savings to fund the ACA, they were literally savings in the form of lower reimbursements for hospitals/drs. Not denying services to people.

I find this practice by the hospitals to be very unethical (holding people for over 48hours, giving them comprehensive treatments, yet never admitting them for care) - I just don't blame the gov't for it.
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Old 09-25-2013, 01:46 PM
 
Location: NY & Fl
10,590 posts, read 6,857,135 times
Reputation: 8427
Did you miss the part where hospitals may be taking the defensive because of the penalties if a patient is readmitted within a certain amount of time?
I guess you didn't think that might have anything to do with it,huh?
Believe me, I think the practice of 'observation' beyond a reasonable time sucks bilge water, too.
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