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Old 02-19-2014, 12:21 PM
 
Location: Pine Grove,AL
29,426 posts, read 16,342,615 times
Reputation: 5944

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Quote:
Originally Posted by OICU812 View Post
Government creates a regulatory environment it claims fixes things, but all it does is create more problems.

The fourth Georgia hospital in two years is closing its doors due to severe financial difficulties caused by Obamacare’s payment cuts for emergency services.
Fourth Georgia hospital closes due to Obamacare cuts | The Daily Caller
This one is one of the few Obamacare horror stories that is true, the only problem with your argument is that expanding medicaid would solve it and the George Governor said no.
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Old 02-19-2014, 12:22 PM
 
Location: texas
9,127 posts, read 7,913,873 times
Reputation: 2385
Quote:
Originally Posted by chucksnee View Post
Why is it shutting down now? It was fine before.....
That is not correct. funding of rural hospitals has been a problem according to:

Quote:
State Rep. Sharon Cooper, R-Marietta, said Wednesday that closing rural hospitals is an “unthinkable proposition” — two days after telling an Atlanta radio station that some rural hospitals “need to close.”

“If we don’t act to make real, substantive changes, we very well could be faced with the hard reality of hospital closures in rural parts of this state, no matter how many short gap measures we take, leaving many communities without the economic engine and access to care people depend on,” she said.


“When your census [population] is that low and you have hospital administration and you have to have 24 hour-a-day care and you have to have a pharmacy and all the other things that go with a hospital and your census runs at just minute number of patients then I think it’s time to look at the fact that maybe they need to go to regional hospitals,” Cooper told WABE’s Jonathan Shapiro.
Oops. Closing rural hospitals would be

Plus what has been mentioned in the thread already that the Gov. did not expand medicaid.

just because the rooster crows in the morning does not mean it caused the sun to rise.
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Old 02-19-2014, 12:30 PM
 
Location: Barrington
63,919 posts, read 46,491,381 times
Reputation: 20674
Quote:
Originally Posted by pghquest View Post
No they dont. I wonder what it would have cost the taxpayer to have the government reinburse these expenses, and if it had been cheaper than the trillion dollars in taxes to be generated over the next decade. thus resolving the issue that the uninsured dont pay their bills and pass the cost onto the hospital.
My response did not feel right and I went back and changed it.

The federal government has designated 3,109 hospitals as Disproportionate Share Hospitals ( DSH) and Fed makes a partial payment for uncompensated ER stabilization.

There has been much legacy abuse at the state level to shift financial burden onto the Federal Government, then complain about federal spending.

ACA seeks to reduce DSH payments over time in anticipation of increased Medicaid payments.

Georgia chose to not expand Medicaid.
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Old 02-19-2014, 12:38 PM
 
69,368 posts, read 63,884,083 times
Reputation: 9383
Quote:
Originally Posted by middle-aged mom View Post
Obamacare/ACA is legislation, not insurance.

Private insurers and healthcare providers negotiate reimbursement amounts per plan.

No hospital or medical practice is required to accept all insurers and insurance plans, no different than pre- ACA days.
Reinbursement rates are negotiated based upon UCR and ICD9/10 rates.

ACA is legislation ON insurance, and while hospitals arent required to accept plans, what do you suggest they do when the government mandates they treat patients.. deny payment thats offered?

ridiculous.
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Old 02-19-2014, 12:39 PM
 
Location: Barrington
63,919 posts, read 46,491,381 times
Reputation: 20674
Hospitals are required to meet defined criteria to be considered for Federal Disproportionate Share Hospital ( DSH), subsidies which have been around since the 80's. One of the minimum criteria is that the hospital is required to have a minimum of 100 beds.

The Lower Oconee Community Hospital has 25 beds and therefore does not appear to have ever qualified for DSH subsidy.
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Old 02-19-2014, 12:40 PM
 
46,174 posts, read 26,880,522 times
Reputation: 11070
Quote:
Originally Posted by Chimuelojones View Post
That is not correct. funding of rural hospitals has been a problem according to:


It had problems...but stayed going, why does it have to shut down now? Whats forcing the final closure?
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Old 02-19-2014, 12:40 PM
 
69,368 posts, read 63,884,083 times
Reputation: 9383
Quote:
Originally Posted by middle-aged mom View Post
My response did not feel right and I went back and changed it.

The federal government has designated 3,109 hospitals as Disproportionate Share Hospitals ( DSH) and Fed makes a partial payment for uncompensated ER stabilization.

There has been much legacy abuse at the state level to shift financial burden onto the Federal Government, then complain about federal spending.

ACA seeks to reduce DSH payments over time in anticipation of increased Medicaid payments.

Georgia chose to not expand Medicaid.
So ACA seeks to reduce one form of government payment in exchange for another..

Yeah, that'll fix it..
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Old 02-19-2014, 12:43 PM
 
Location: Fort Worth Texas
12,481 posts, read 10,188,677 times
Reputation: 2535
Quote:
Originally Posted by mohawkx View Post
He cares and is ready to fund the expansion of medicaid 100% for states that accept it. It's the republicans in the state that don't care about their own citizens.
But the reality is more complicated. The federal government has historically made payments to hospitals to cover the cost of uninsured patients seeking free medical care in emergency rooms, as federal law mandates that hospitals must care for all patients regardless of their ability to pay.
Because the Affordable Care Act’s authors believed they’d forced all states to implement the Medicaid expansion, Obamacare vastly cut hospital payments, the Associated Press reports.
The Supreme Court ruled that states could reject the Medicaid expansion in 2012, as part of the decision that upheld Obamacare generally. Since that decision, the Obama administration has so far instituted 28 unilateral delays and changes to the health care law’s implementation without congressional approval, Fox Business reports.
From verifying eligibility for subsidies to enforcing employer requirements, the Obama administration has already taken a hacksaw to the health care reform law, but it has made no changes to the provision raising problems for half the nation’s hospitals


Read more: Fourth Georgia hospital closes due to Obamacare cuts | The Daily Caller

The article clearly displays the problem .
Your republican rant does not change the reality that the ACA is the reason these hospital are closing
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Old 02-19-2014, 12:45 PM
 
Location: Barrington
63,919 posts, read 46,491,381 times
Reputation: 20674
Quote:
Originally Posted by pghquest View Post
Reinbursement rates are negotiated based upon UCR and ICD9/10 rates.

ACA is legislation ON insurance, and while hospitals arent required to accept plans, what do you suggest they do when the government mandates they treat patients.. deny payment thats offered?

ridiculous.
EMTALA has been the law for almost 30 years, since 1986.

Hospitals that accept Medicare/Medicaid payments are required to comply with EMTALA.

It appears that the Lower Oconee Community Hospital with only 25 beds is too small to have ever qualified for Disproportionate Share Hospital subsidies which were quietly enacted when EMTALA became law.
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Old 02-19-2014, 12:53 PM
 
Location: Barrington
63,919 posts, read 46,491,381 times
Reputation: 20674
Quote:
Originally Posted by chucksnee View Post
It had problems...but stayed going, why does it have to shut down now? Whats forcing the final closure?
Educated speculation on my part....continued sustained losses, no different than most businesses that close.
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