August 30th, 2010 by RyanDuBosar in Better Health Network, Health Policy, News
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More than one-fifth of hospitals are government-owned, but states and counties are out of cash to keep them open. So, charitable hospitals are being sold to for-profit groups or facing closures. Rising costs and more uninsured patients run smack into falling Medicare and Medicaid reimbursement. When bonds come due, there’s little chance of states and counties paying them back. And the facilities are often standalones, and they can’t fall back on corporate backing. This year, 53 hospitals have been sold in 25 arrangements. While the deals often stipulate that care for the poor continues, no one is certain exactly how or even whether such services will continue.
That said, other charitable hospitals are making big profits. What are they doing differently? First, they’re competing for patients, so they’re increasing room sizes, offering amenities and even investing in high-end procedures such as robotic surgery. They continue to offer community care, but they’re acting more like for-profit institutions to cover their charitable missions. But this conflicts with an old-fashioned view of what charitable care is supposed to be.
Stepping into the breach is the Centers for Medicare and Medicaid Services, which is offering one solution, by increasing reimbursement for inpatient services in rural areas. The agency is expanding a pilot program by increasing reimbursement for inpatient services. Facilities are eligible if they offer care to rural areas in the 20 states with the lowest population densities, have fewer than 51 beds, provide emergency-care services and are not a critical-access hospital. (Wall Street Journal, Washington Post, Modern Healthcare)
*This blog post was originally published at ACP Internist*
August 30th, 2010 by DrWes in Better Health Network, Health Policy, Health Tips, News, Opinion
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In case you haven’t seen it, a list of the 100 Most Powerful People in Health Care was [recently] published. In thinking about this list I realized that, in reality, these people had little to do with my patients’ health care delivery. So how did they became the most powerful people in health care?
Quite simply, they are not the 100 most powerful people in health care, but rather they are the 100 most powerful people overseeing the funding of health care — at least for the moment. In as little as 11 months, many of the people on this list will be gone or have moved on to their next money-making venture.
So who are the most powerful people in health care? Read more »
*This blog post was originally published at Dr. Wes*
August 30th, 2010 by GruntDoc in Better Health Network, Health Policy, News, Opinion
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In another one of the things I had no idea about, there’s a market to assist FMGs [foreign medical graduates] in getting U.S. residencies, which makes sense. Allegedly, this guy was willing to go the extra mile for his clients.
Full marks for creativity, but…
Mr. Everest allegedly provided an employee at the hospital with forged letters from a California hospital to show that the applicants had been accepted into a second-year program. And he gave her a check for $4,000, followed by another check for $2,000. She reported him to hospital officials, and later told him she knew the letters were forged. He then allegedly gave her $6,000 for time to get a letter from a different hospital—which was also forged—and gave her $3,000 more before he was arrested.
Geez.
– Via Hospital Bribe Alleged – WSJ.com
*This blog post was originally published at GruntDoc*
August 29th, 2010 by Edwin Leap, M.D. in Better Health Network, Humor, Opinion, True Stories
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Last week a trailer less than a mile from our house experienced a small explosion. Trailers, which seldom explode on their own (without undiscovered volcanoes or CIA drones with missiles) was concealing a meth lab.
What can you say? If I weren’t an emergency physician I’d say, “Shocking! Ghastly! Unbelievable!” But I do what I do so I say, “Huh, how about that.”
I’ve lost much of my capacity to be shocked. I have seen meth users, and probably meth dealers. I’ve known and enjoyed the company of alcoholics and Valium addicts. I’ve cared for murderers and the murdered (albeit briefly in the case of the latter). I’ve been involved in the evaluation of sexual assault victims, car thieves, drunk drivers and child abusers. A meth lab is, in its own way, kind of small stuff.
What does it say about me? I don’t know. It may suggest that I’m cynical. Or it may mean that I’m cold. Or it may mean, as I suspect it does, that I’m just realistic. I know the world is full of drugs and brokenness. The ER, where I work, is just the place where all of it arrives in its fermented, fully concentrated, “contents under pressure” form. Read more »
*This blog post was originally published at edwinleap.com*
August 29th, 2010 by Toni Brayer, M.D. in Better Health Network, Health Tips, True Stories
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I know it’s not politically correct to look at what other people buy at the grocery store, but as a physician I just can’t help noticing. Some carts contain huge containers of soda pop, Doritos, frozen pizza, and other packaged goods.
I’m not surprised, because at the end of every isle is a display case that offers the giant soda for 89 cents or the Doritos on special for $1.29. With this type of marketing, it takes a strong person to resist the “bargain.”
Yesterday the woman in front of me (overweight, middle-aged) had a strange assortment of goods that she probably thought would help her lose weight. She had several Weight Watcher-type meals, diet drinks, power bars, and lots of “light” items — “light butter,” “light crackers,” “light yogurt,” and “light ice cream.”
Folks, this won’t work. Eating this way won’t help her lose weight. She needs to make dramatic changes to drop the pounds. Read more »
*This blog post was originally published at EverythingHealth*
