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Isn't witholding payment similar to fining? Insurance companies have their ways.
Of course they do.
Not least are (were) "lifetime limits" which are somehow conveniently forgotten in these discussions.
Do people honestly believe that insurance companies just pay and pay and pay?
You do realize the provisoons also don't take into consideration unrelated readmissions. Go in for pneumonia and discharged then two days later fall and break a hip, it counts againts the physician and hospital as a readmission. This is what happens when a group makes laws without including medical specialist input.
Wrong.
It only counts if a patient is readmitted for the same diagnosis.
Of course they do.
Not least are (were) "lifetime limits" which are somehow conveniently forgotten in these discussions.
Do people honestly believe that insurance companies just pay and pay and pay?
I'd compare it to other government programs, like NCLB rather than the legal system.
No one is going to jail here.
Take NCLB..hold back money if the school doesn't have passing grades. Schools lower the bar to achieve those goals which is not what they really wanted.
Now what will happen when hospitals are paying out millions in penalties ?
They lower the bar of treatment outcomes à la NCLB.
Seniors are screwed. And they PAID into the system all these years just to get screwed by Obama.
Of course they do.
Not least are (were) "lifetime limits" which are somehow conveniently forgotten in these discussions.
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...
Obamacare:
- Lifetime limits erased for those 64 and under, whether they contribute to the system or not
- Limits and restrictions on care placed on those 65 and over who've paid into the system for YEARS.
I'd compare it to other government programs, like NCLB rather than the legal system.
No one is going to jail here.
Take NCLB..hold back money if the school doesn't have passing grades.
Schools lower the bar to achieve those goals which is not what they really wanted.
Now what will happen when hospitals are paying out millions in penalties ?
Do they have that much extra money to do that and continue to operate ?
A stick is a stick, be it a jail cell, a civil fine, or withholding funds. Someone should have to pay for 100,000 negligent deaths each year. Why should the government and the victims foot the bill?
A stick is a stick, be it a jail cell, a civil fine, or withholding funds. Someone should have to pay for 100,000 negligent deaths each year. Why should the government and the victims foot the bill?
How would limiting readmissions for heart failure prevent negligent deaths?
Quote:
“Among patients with heart failure, hospitals that have higher readmission rates actually have lower mortality rates,” said Sunil Kripalani, MD, a professor with Vanderbilt University Medical Center who studies hospital readmissions. “So, which would we rather have — a hospital readmission or a death?”
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