Hospitals cutting thousands of jobs

[tru_m.a.c]

So if Obamacare makes good insurance no more affordable to the average American, but at the same time further cuts the already anemic Medicare reimbursment rates, resulting in the shuttering or merging of already struggling hospitals, how the fukk is this supposed to be good for America or the American medical system again?

Because the hospitals receiving rate cuts are hospitals with poor readmission rates (affecting the health of america and charging more money to insurers)

And what is this lie about PPACA not making good insurance affordable? Where do you get your information from?

 

[tru_m.a.c]

Forced into this tight situation by whom i wonder?...

What? This is not some new phenomena. You need to understand how hospitals get paid before you start ranting against PPACA

http://economix.blogs.nytimes.com/2009/01/23/how-do-hospitals-get-paid-a-primer/?_r=0

 

[Hiphoplives4eva]

Because the hospitals receiving rate cuts are hospitals with poor readmission rates (affecting the health of america and charging more money to insurers)

And what is this lie about PPACA not making good insurance affordable? Where do you get your information from?

Trust me i know FAR more about hospital readmission rates than you do, but humor me. Do you know which hospitals generally tend to get "penalized" for poor hospital admission rates? And if your answer if nice rich suburban hospitals YOUR WRONG.

 

[TheReal_Broke_88m3_13]

I'm just going to requote the last two lines I bolded.

Still, J.P. Fingado, CEO of API Healthcare, a consulting firm for hospitals, says the layoffs are shortsighted because the providers likely will have to add staff as soon as next year to handle increased patient volumes resulting from the health care law.

"The cuts are a particularly short-term reaction," he says.

 

[DEAD7]

What? This is not some new phenomena. You need to understand how hospitals get paid before you start ranting against PPACA

http://economix.blogs.nytimes.com/2009/01/23/how-do-hospitals-get-paid-a-primer/?_r=0

It has nothing to do with how hospitals work... its a matter of govt. getting involved(usually some emotionally driven feel good cause), creating a problem then having to create more legislation to fix it. How can people not see this pattern

 

[tru_m.a.c]

Trust me i know FAR more about hospital readmission rates than you do, but humor me. Do you know which hospitals generally tend to get "penalized" for poor hospital admission rates? And if your answer if nice rich suburban hospitals YOUR WRONG.

do you really? For starters, I would never classify a hospital as rich or suburban. I would classify it according to its patient mix, market influence, and its level of development.

Secondly I just want to put it out there, the initiative to reduce hospital readmission rates is in the same train of thought as pay for performance models and accountable care organizations.

Thirdly, there is no possible way you know more about this than me seeing as I've worked in the finance department before and readmissions is publicly available data.

http://www.cms.gov/Medicare/Medicar...atientPPS/Readmissions-Reduction-Program.html

As they did last year, the Medicare penalties appeared to land harder on hospitals that treat large numbers of poor people, according to calculations Medicare made and included in a regulation published Friday.

Among the safety net hospitals with the most poor patients, 77 percent were penalized, while only 36 percent of the hospitals with the fewest poor patients were penalized. Denver Health Medical Center, which has historically had low readmission rates and thus has been cited as proof that safety net hospitals can avoid readmissions for their patients, will get a 0.04 percent penalty after avoiding any punishment last year.

However, Medicare stated that it did not see a need to take the socio-economic populations of hospitals into account in the penalties, since it already factored in the differing health of those populations. "We routinely monitor the impact of socioeconomic status on hospitals’ results and have consistently found that hospitals that care for large proportions of patients of low socioeconomic status are capable of performing well on our measures," the agency wrote in its rule.

toodles my nikka.

 

[tru_m.a.c]

It has nothing to do with how hospitals work... its a matter of govt. getting involved(usually some emotionally driven feel good cause), creating a problem then having to create more legislation to fix it. How can people not see this pattern

 

[DEAD7]

typical liberal response when the state is called out.

 

[marleyg]

if the state is a streamlined non profit organization............ it works for the community............

like an internet forum is a state

 

[Kritic]

i'm gonna cut back fighting stupid niccas. i never know which way it's gonna go. one of these days i might end up taking the lawse.
don't want to risk ending up in hospital.

 

[Atlrocafella]

Short term quick reaction.

 

[heart]

This has been going on for the last year but now the cuts are getting worse. More hospitals are hiring more & more PRN employees. That's basically the present & wave of the future to counter all the new healthcare polices. A lot of hospitals including the one where I work are having problems with patient retention, meaning most inpatients come through ER first before being admitted but if they get sick again they won't come to our facility for a variety of reasons.

There are so many neighborhood doctors/ care now clinics popping up along with doctors pooling their money & resources together starting private practices because they knew healthcare reform was coming & they want to stay rich. My hospital isn't "mega" but we have 290 beds(with overflow) but we're only seeing 60 to 85 patients per week... It's getting bad...