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Many insurance companies and Medicare,like auto repair shops, have an authorized number of dollars per condition they allow.
"Then there is DRG billing, which refers to diagnosis related groups and is the form of payment used by Medicare and Medicaid primarily (though there are some commercial insurances who use it, too). Perhaps you have heard the term “perspective payment system”. If you didn’t know what that is – DRG is part of the perspective payment system. A DRG is a 3-digit code that looks like this – 123." Healthcare is Business: Do the Math: Insurance Dictates Hospital Costs
Keep a patient longer out of medical concerns and suck up the cost.
Will they do that or will every bill go up to cover the eventuality? You guess.
Our regional hospital administrator, in a interview, responded tactfully by promising trying to improve discharge instructions and followup with patients after discharge in the hopes of bettering compliance.
I didn't understand the part how hospitals will have to give substandard care if they didn't fix the problems that the patients have had in the first place? Or let them stay in hospital longer to sort them out?
Do you have any idea how this will drive up costs?
Some patients are chronically ill. Sometimes the patient appears well but has a relapse. Are we now supposed to give all patients extended stays so that we can catch these?
Let's say a patient has AIDS and becomes ill enough to require hospitalization. They get him well enough to go home but he gets sick again in three weeks. Why is this the hospital's fault?
My prediction is that medicine will become the kind of cluster $%^@ that education is. That's what you get when people outside of the profession start telling you how to run your profession.
Whether a patient needs to be readmitted is a medical question NOT a political one. You can't outline it in a document. You can't fine it out of existence. What the fines do is insure sub standard care for the next 30 days after a hospitalization if you happen to need to be readmitted. Or hosiptals simply will not let patients go home and prescribe work arounds until they're eligible for readmittance....
Therea re too many conditions that can have complications after the fact. Costs are going to go way up if they have to keep patients until they're certain there aren't any. When I was released after dd#2's birth, it was "Come back if you have any complcations". Now it will be, you can't go home until we're sure you won't have any complications. That's going to drive costs up AND have a lot of hospital beds in use by people who could be released from a medical perspective.
I've had several procedures done where the doctors have informed me of the possible complications and simply told me to get my butt back to the hospital if I have any. If only 1 in 10 patients has them and you're forced to keep all patients several days longer to catch that one, how much have your costs gone up?
Many insurance companies and Medicare,like auto repair shops, have an authorized number of dollars per condition they allow.
"Then there is DRG billing, which refers to diagnosis related groups and is the form of payment used by Medicare and Medicaid primarily (though there are some commercial insurances who use it, too). Perhaps you have heard the term “perspective payment system”. If you didn’t know what that is – DRG is part of the perspective payment system. A DRG is a 3-digit code that looks like this – 123." Healthcare is Business: Do the Math: Insurance Dictates Hospital Costs
Keep a patient longer out of medical concerns and suck up the cost.
Will they do that or will every bill go up to cover the eventuality? You guess.
Our regional hospital administrator, in a interview, responded tactfully by promising trying to improve discharge instructions and followup with patients after discharge in the hopes of bettering compliance.
Every bill will go up to cover the fines.
If doctors could predict which patients will have complications, they would keep them in the hospital. The problem is, they can't. They're not omnipotent.
I had a procedure done, years ago, where my doctor gave me a choice between 3 days in the hospital or doing it as an outpatient but I had to agree to go home and stay in bed for three days. I chose the latter. He informed me of what to look for so I knew if I needed to come back and I had his number. They won't be able to do this under obamacare. The cost of that three day hospital stay would have been 20 times the cost of the procedure itself.
If doctors could predict which patients will have complications, they would keep them in the hospital. The problem is, they can't. They're not omnipotent.
I had a procedure done, years ago, where my doctor gave me a choice between 3 days in the hospital or doing it as an outpatient but I had to agree to go home and stay in bed for three days. I chose the latter. He informed me of what to look for so I knew if I needed to come back and I had his number. They won't be able to do this under obamacare. The cost of that three day hospital stay would have been 20 times the cost of the procedure itself.
I'm certainly no fan of the ACA but why are you saying this?
People will need to wait until it is too late, so they die. How is that for fixing your problem you will be dead but then we won't need to pay for your health problems anymore.
Well perhaps hospitals will not release patients without giving them necessary testing instead of releasing misdiagnosed patients who are forced to return again as the hospital didn't take care of their medical problem/s the first time they were admitted.
Well perhaps hospitals will not release patients without giving them necessary testing instead of releasing misdiagnosed patients who are forced to return again as the hospital didn't take care of their medical problem/s the first time they were admitted.
How can one misdiagnose a heart attack ? That is one of the three issues they are monitoring and penalizing.
Who is talking about heart attacks? In my case, I was misdiagnosed when I really had appendicitis and one can die from a ruptured appendix.
Were you admitted or was this an emergancy room diagnosis?
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