Medicare to stop paying for hospital errors (Full Version)

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Level -> Medicare to stop paying for hospital errors (8/19/2007 4:39:50 PM)

quote:

Starting next year, if a surgeon leaves an instrument inside a patient, Medicare won't cover the cost of fixing that mistake.

Under new rules issued in the beginning of August, Medicare will no longer pay for the costs of what it considers "preventable" conditions acquired in the hospital. These include everything from certain types of hospital-acquired infections, to patients who are given transfusions with the wrong blood type, to bed sores.


http://www.abcnews.go.com/WN/story?id=3499053

http://www.nytimes.com/2007/08/19/washington/19hospital.html?_r=1&em=&en=a9ecf68234181392%0A&ex=1187582400&pagewanted=all&oref=slogin




windchymes -> RE: Medicare to stop paying for hospital errors (8/19/2007 5:20:22 PM)

Yes, but the important statement in that article is:

Instead, the hospitals themselves will have to cover these costs (since the rules also prevent them from billing the patient).
 




Level -> RE: Medicare to stop paying for hospital errors (8/19/2007 5:27:59 PM)

Exactly, w; you're beautiful and smart [;)]




dollylima -> RE: Medicare to stop paying for hospital errors (8/19/2007 6:27:11 PM)

Let's not pretend we aren't the ones who are going to continue to pay.




Level -> RE: Medicare to stop paying for hospital errors (8/19/2007 6:37:40 PM)

According to the article, it's against the law for the hospital to pass the costs on to the patients, but laws are hardly sneak-proof, so, we'll see.




feastie -> RE: Medicare to stop paying for hospital errors (8/19/2007 7:53:58 PM)

In theory, this sounds like a great plan.  Forcing hospitals to be accountable for their mistakes.  Although the article does cite problems which are common in hospitals, such as pressure sores or certain types of infections, negligence on the part of the hospital in many of these situations is not necessarily indicated.  As a result, hospitals will be forced to absorb these costs in addition to what they absorb already. 

Medicare doesn't pay hospitals what it costs to perform procedures or care for the patient.  For example, a Medicare patient receives an encapsulated stent.  (A stent is a device which holds a vessel open, allowing good blood flow into and around the heart, generally.)  The hospital's cost of the stent is $3,600.00.  Medicare only pays $1,800.00.  The remainder of the cost is not passed on to the Medicare patient, it's passed on to the patient with private insurance. 

So while the Medicare patient will not be responsible for the cost of additional care resulting from any of the regulated problems, you can safely bet that the hospital will raise its costs in other areas to compensate, directly affecting private insurances.  This means you, Joe.   Medical costs and insurance premiums continue to skyrocket, while coverages dwindle, deductibles grow and red tape blooms.

Hospitals annually write off a huge amount of money to indigent care.  Locally, one hospital in particular writes off about 20 million dollars each year.  That number is not only staggering, it is growing.  More and more people can no longer afford insurance, whether it's offered or not, because of the rising costs.

Predictions have been forecast based on a recognizable trend which is leading to the closure of trauma centers.  Of all the needs a hospital meets, trauma is among the greatest, and yet, due to the vicious circle in which our health care providers find themselves between the government, private insurance and the indigent, something must give. 

The question is, what is it going be?





littlesarbonn -> RE: Medicare to stop paying for hospital errors (8/19/2007 8:13:52 PM)

This will create a chilling effect. Hospitals will hold doctors accountable and then doctors will refuse to leave equipment in patients, and next thing you know....oh wait, that's a good thing. Never mind.




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