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Old 10-03-2012, 12:25 PM
 
3,423 posts, read 3,216,979 times
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Quote:
Originally Posted by InformedConsent View Post
How would limiting readmissions for heart failure prevent negligent deaths? More than 2,200 hospitals face penalties under ObamaCare rules
Okay I see the problem now.

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Old 10-03-2012, 12:31 PM
 
Location: the very edge of the continent
89,069 posts, read 44,895,573 times
Reputation: 13720
Quote:
Originally Posted by orogenicman View Post
Okay I see the problem now.
You don't believe Dr. Sunil Kripalani?

https://medschool.mc.vanderbilt.edu/....php?id3=17228

Post research that refutes his statement.
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Old 10-03-2012, 12:40 PM
 
3,423 posts, read 3,216,979 times
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Quote:
Originally Posted by InformedConsent View Post
You don't believe Dr. Sunil Kripalani?

https://medschool.mc.vanderbilt.edu/....php?id3=17228

Post research that refutes his statement.
I believe almost nothing that comes out of Faux News. His arguments aren't mine to refute. They are his to defend.
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Old 10-03-2012, 12:55 PM
 
Location: the very edge of the continent
89,069 posts, read 44,895,573 times
Reputation: 13720
Quote:
Originally Posted by orogenicman View Post
I believe almost nothing that comes out of Faux News.
It didn't come out of Fox News. It came out of Dr. Sunil Kripalani.
https://medschool.mc.vanderbilt.edu/....php?id3=17228
Quote:
His arguments aren't mine to refute. They are his to defend.
Even NPR agrees with Dr. Kripalani...

When Going Back To The Hospital Is Good News : Health Blog : NPR
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Old 10-03-2012, 12:57 PM
 
Location: Home, Home on the Front Range
25,826 posts, read 20,721,231 times
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Quote:
Originally Posted by InformedConsent View Post
No, it's not forgotten. Those "lifetime limits" are disclosed when one enrolls in the plan. And not all plans even have lifetime limits.

Seniors paid into the Medicare system all these years with NO cap, meaning ALL earned income was taxed at the full rate for Medicare. All that time, there was never any mention of limits and restrictions on hospital readmissions for relapses or complications from illness or surgery.

Limiting Medicare patient readmissions for relapses and/or complications WILL cost lives.

Seniors, you better hope you don't become ill or require surgery after hospitals have already hit their readmissions limit
...
Oh, stop already. We get it. The president wants to enact "Soylent Green."
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Old 10-03-2012, 02:25 PM
 
3,423 posts, read 3,216,979 times
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Quote:
Originally Posted by InformedConsent View Post
It didn't come out of Fox News. It came out of Dr. Sunil Kripalani.
https://medschool.mc.vanderbilt.edu/....php?id3=17228
Even NPR agrees with Dr. Kripalani...

When Going Back To The Hospital Is Good News : Health Blog : NPR
The NPR report doesn't support the claim that hospitals with lower mortality rates will be adversely affected. In fact, what it says is:

Quote:
Starting in October 2013, Medicare plans to take mortality rates into account when reimbursing hospitals under its so-called value-based purchasing formula. Mortality rates will initially count for 25 percent of the bonuses or penalties hospitals will receive, with the rest determined by patient ratings and measures showing how often hospitals followed basic clinical care guidelines.
In other words, if you have a high readmission rate, such as was found with some of these hospitals but a lower mortality rate as a result, that will be taken into account. The ones that will be most affected are the ones with high readmission rates that coincide with high mortality rates.

The NPR report also says:

Quote:
Separately, Medicare recently awarded Beth Israel a $4.9 million grant to work on improvements to care in the month after hospital discharge. The goal: cut hospital readmissions within 30 days by 30 percent.
In other words, if they can improve care after discharge, they can reduce readmissions. So guys and gals, this is not the big boogey man Faux would have you believe.
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Old 10-03-2012, 02:58 PM
 
Location: the very edge of the continent
89,069 posts, read 44,895,573 times
Reputation: 13720
Quote:
Originally Posted by orogenicman View Post
The NPR report doesn't support the claim that hospitals with lower mortality rates will be adversely affected. In fact, what it says is...
Quote:
Starting in October 2013, Medicare plans to take mortality rates into account when reimbursing hospitals under its so-called value-based purchasing formula. Mortality rates will initially count for 25 percent of the bonuses or penalties hospitals will receive, with the rest determined by patient ratings and measures showing how often hospitals followed basic clinical care guidelines.
In other words, if you have a high readmission rate, such as was found with some of these hospitals but a lower mortality rate as a result, that will be taken into account. The ones that will be most affected are the ones with high readmission rates that coincide with high mortality rates.
In other words? It doesn't say that at all. Read the link in the NPR article. It refers to OUTPATIENT services, not hospital admissions or readmissions.

Quote:
In other words, if you have a high readmission rate, such as was found with some of these hospitals but a lower mortality rate as a result, that will be taken into account.
Totally false. In your overarching attempt to defend Obama's targeting seniors for reduced access to medical care, you've erroneously conflated outpatient services regulations with Obama's Medicare readmission limits and restrictions regulations.
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Old 10-03-2012, 03:19 PM
 
3,423 posts, read 3,216,979 times
Reputation: 3321
Quote:
Originally Posted by InformedConsent View Post
In other words? It doesn't say that at all. Read the link in the NPR article. It refers to OUTPATIENT services, not hospital admissions or readmissions.
Well, apparently you didn't read your own link. The NPR was about - wait for it - readmission rates.

Quote:
In your overarching attempt to defend Obama's targeting seniors for reduced access to medical care, you've erroneously conflated outpatient services regulations with Obama's Medicare readmission limits and restrictions regulations.
What part of "Starting in October 2013, Medicare plans to take mortality rates into account " (with respect to readmission rates) did you not understand? It came from your link. If you have a problem with the contents, I suggest you take it up with the author.
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Old 10-03-2012, 03:30 PM
 
Location: the very edge of the continent
89,069 posts, read 44,895,573 times
Reputation: 13720
Quote:
Originally Posted by orogenicman View Post
Well, apparently you didn't read your own link. The NPR was about - wait for it - readmission rates.



What part of "Starting in October 2013, Medicare plans to take mortality rates into account " did you not understand? It came from your link. If you have a problem with the contents, I suggest you take it up with the author.
Good grief. Click on the link in the quote and read it.

Those are the payment policies for OUTPATIENT services. OUTPATIENTS aren't admitted into hospitals. That has NOTHING to do with the limits and restrictions Obama placed on Medicare readmissions.

Here we have yet another example of Pew Research's findings: Those who vote for Democrats are the LEAST informed.
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Old 10-03-2012, 03:38 PM
 
Location: Great State of Texas
86,052 posts, read 84,548,114 times
Reputation: 27720
Hosptial outpatient services for medicare has nothing to do with the hospital readmittance policy for medicare patients.

Two totally different things.

If your heart stops you are NOT going to the outpatient section of the hospital.
And if you heart stops within 30 days of discharge, again, they are not bringing you to the outpatient section of the hospital.
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