New Obamacare provision in effect today

[Riot]

A new provision of Obamacare went into effect today: hospitals will be penalized financially via their Medicare reimbursements, if their Medicare patients are re-admitted for the same medical problems too quickly, too frequently.

This applies to things like hospitalization for heart attacks ,etc.

The goal is to make sure the hospital treats and follows up with the patient correctly and thoroughly the first time they have a major health problem - to save the patient recurring bad health and quick readmission for the same problem again in a short time, and to save Medicare from paying for excessive admissions for the same problem over and over again in quick succession.

Treat it right the first time, ensure the patient gets appropriate follow up care.

What a concept!

Healthier patients, less admissions, less cost to the provider (which is you and I) Medicare already delivers a higher quality of care, for far less cost, than US private insurance companies. This simply improves that again. One of the ways Obamacare extends the life of Medicare by 8 years.

Of course, Mitt Romney vows to repeal this horrible provision, socialist healthcare and huge government overreach the first day he is in office

I like Obamacare. Yes, I do

[Danzig]

Barck-Obama-Head-Cheerleader--66636.jpg

[bigrun]

[richard burch]

oh man!

i thought you were going to tell us "free weed for everyone"

got all excited for nothing.

[Riot]

Yup. Proud Obama cheerleader - (for the stuff I don't disagree with him about) Not a thing wrong with being happy we finally have the ACA passed, with the start, at least, of first world healthcare access and cost containment for American citizens, like other big-boy countries have.

Much rather be an Obama cheerleader than this guy:

[jms62]

Originally Posted by Riot

Yup. Proud Obama cheerleader - (for the stuff I don't disagree with him about) Not a thing wrong with being happy we finally have the ACA passed, with the start, at least, of first world healthcare access and cost containment for American citizens, like other big-boy countries have.

Much rather be an Obama cheerleader than this guy:

This fella doesn't seem to grasp that he will be paying more taxes on his $12job at the mill to support Donald Trump and Mitt's tax cut. That however may be short lived as his $12 an hour wages will be deemed "excessive compensation" by LBO firm Bain and he will be replaced by a minimum wage contractor on an H1B visa. When last seen he was still feeling patriotic and was last heard saying, "At least we got rid of that durn Muslin" in the White House. But all was not lost as he was able to increase his time posting on the Poly forum on Derby Trail but I guess you see that for yourself. All of this while declaring victory over excessive Government regulations and interference minutes before he was to find out his insurance was cancelled during a trip to the hospital for chemo treatments for his son who contracted cancer from eating the fish caught in the Mill Pond they used to supplement his former $12 an hour job. He doesnt know yet of the padlock on his front door awaiting him at home that was just minutes ago placed there by the sheriff.

[Honu]

Originally Posted by Riot

A new provision of Obamacare went into effect today: hospitals will be penalized financially via their Medicare reimbursements, if their Medicare patients are re-admitted for the same medical problems too quickly, too frequently.

This applies to things like hospitalization for heart attacks ,etc.

The goal is to make sure the hospital treats and follows up with the patient correctly and thoroughly the first time they have a major health problem - to save the patient recurring bad health and quick readmission for the same problem again in a short time, and to save Medicare from paying for excessive admissions for the same problem over and over again in quick succession.

Treat it right the first time, ensure the patient gets appropriate follow up care.

What a concept!

Healthier patients, less admissions, less cost to the provider (which is you and I) Medicare already delivers a higher quality of care, for far less cost, than US private insurance companies. This simply improves that again. One of the ways Obamacare extends the life of Medicare by 8 years.

Of course, Mitt Romney vows to repeal this horrible provision, socialist healthcare and huge government overreach the first day he is in office

I like Obamacare. Yes, I do

Those pesky old sick people. Shame on them for not getting better right away.

[dino]

I'm a right wing Conservative but even I have figured out that Romney is going to get smoked in November. The Liberal's have finally figure out that you can buy votes by signing up more people for welfare, food stamps and all the rest of the give aways.
In the 50's they tried to keep the woman barefoot and pregnant so men could have control over them. Now they just keep them dumb and happy so they'll vote for them.
Long gone is my grandfather's and father's America. Welcome to Obamaland where he wants to open the borders to the hispanic vote, turn the poor against the rich, the blacks against the white, the young against the old....I could go on forever.
My hope was aleays that people would figure it out but with the dumbing down of America that probably won't happen. So now all we can do is watch the country go down the drain.

[Rudeboyelvis]

Originally Posted by dino

I'm a right wing Conservative but even I have figured out that Romney is going to get smoked in November. The Liberal's have finally figure out that you can install anyone with a pulse and they will defeat the pervasive Fundamentalist Christian agenda that has infected and permeated the once great Republican party.

FTFY.




WAR! PRISONS! NDAA STAYS! MORE WAR! MORE PRISONS! WAR ON DRUGS! WAR ON TERRORISM! WAR ON THE CONSTITUTION! WAR ON ANYONE WHO DOESN'T AGREE WITH US! WAR AGAINST CHOICE! WAR ON GAYS!

Pretty much why - America has had enough of the nonsense, to the point that a great number of Mcain voters are not backing Romney. The Republicans should have rolled over Obama blindfolded, but pandering to their 20% wacko base has killed any chance of that.

If Romney comes out with a more centrist position, a draw down plan in Afghanistan, an actual DEFENSE initiative as opposed to goading Iran into another conflict to replace the lost cause in Pakistan/Afghanistan, a detailed jobs plan that doesn't gut the middle class, etc., and he rolls this clown 70%-30%.

But the psychopaths win out, then lose again, when reality strikes.

[sham]

Anyone who supports this new provision has not thought it through. I just lived and continue to live this new Medicare requirement. My wife 65yo and a Congestive Heart Failure (CHF) patient had her aortic valve replaced a couple weeks ago. This Medicare mandate was the subject that several doctors and nurses were talking about. When the government makes mandates (usually with good intentions) there are always unintended consequences. The new mandate could cost more money than it saves because hospitals would rather see you die in the hospital than go home and then be readmitted later. Thus, hospital stays will last longer for serious illnesses, AND the real problem with extended stays is that the longer one is in a hospital, the greater the chance of contracting a serious staff infection or some other illness. The other end of the problem is that hospitals will be reluctant to readmit a previously treated patient even if the patient becomes dangerously ill. This is a serious consequence for CHF patients because numerous hospital stays is the norm for them.

The way doctors will get around this new provision is to readmit under the identity of a new medical condition. If my wife has to be readmitted, they will try to use something like kidney impairment (for example) rather than a heart based problem. The law looks good on paper but likely will not work in reality. The law reflects a business decision, not a decision in favor of an individual's health. "We must pass it to find out what is in it." Well, we are finding out what is in it and it is not good.

[dellinger63]

Originally Posted by sham

Anyone who supports this new provision has not thought it through. I just lived and continue to live this new Medicare requirement. My wife 65yo and a Congestive Heart Failure (CHF) patient had her aortic valve replaced a couple weeks ago. This Medicare mandate was the subject that several doctors and nurses were talking about. When the government makes mandates (usually with good intentions) there are always unintended consequences. The new mandate could cost more money than it saves because hospitals would rather see you die in the hospital than go home and then be readmitted later. Thus, hospital stays will last longer for serious illnesses, AND the real problem with extended stays is that the longer one is in a hospital, the greater the chance of contracting a serious staff infection or some other illness. The other end of the problem is that hospitals will be reluctant to readmit a previously treated patient even if the patient becomes dangerously ill. This is a serious consequence for CHF patients because numerous hospital stays is the norm for them.

The way doctors will get around this new provision is to readmit under the identity of a new medical condition. If my wife has to be readmitted, they will try to use something like kidney impairment (for example) rather than a heart based problem. The law looks good on paper but likely will not work in reality. The law reflects a business decision, not a decision in favor of an individual's health. "We must pass it to find out what is in it." Well, we are finding out what is in it and it is not good.

the doctor-patient relationship is secondary to the government's word.

What's next?

[Riot]

Originally Posted by sham

Anyone who supports this new provision has not thought it through. I just lived and continue to live this new Medicare requirement. My wife 65yo and a Congestive Heart Failure (CHF) patient had her aortic valve replaced a couple weeks ago. This Medicare mandate was the subject that several doctors and nurses were talking about. When the government makes mandates (usually with good intentions) there are always unintended consequences. The new mandate could cost more money than it saves because hospitals would rather see you die in the hospital than go home and then be readmitted later.

No, this does not apply to a deteriorating, terminal patient. This does not apply to normal hospitalization times for an aortic valve replacement - it's when hospitals kick patients out early, against common medical practices. This only affects what is currently bounce-backs for a few conditions, that is common for only hospitals that don't "do it right" on treatment in the first place.

Achieving normal hospitalization times (and yes, those are documented and we all know it) for regular procedures is the aim of this - times are not being increased. Hospitals that constantly press for early discharge, before the "usual" hospitalization time, will be affected.

Thus, hospital stays will last longer for serious illnesses, AND the real problem with extended stays is that the longer one is in a hospital, the greater the chance of contracting a serious staff infection or some other illness. The other end of the problem is that hospitals will be reluctant to readmit a previously treated patient even if the patient becomes dangerously ill. This is a serious consequence for CHF patients because numerous hospital stays is the norm for them.

This provision does not affect patients with ongoing serious conditions.

Please - read the few conditions the mandate affects.

Other than that, how are you and your wife enjoying your increased Medicare benefits and drug savings due the law?

[Riot]

Originally Posted by Honu

Those pesky old sick people. Shame on them for not getting better right away.

That's not the problem being discussed, is it?

It's to discourage hospitals from kicking seriously ill Medicare patients with certain conditions out early, with no continuing health care, where those patients "bounce back" (yes, that's the term for it) rather than continue their recovery.

That pic is from 2003 and has nothing to do with Obama.
There are plenty of current pictures of libtards and conservatards to choose from.

Ain't nobody got time foh dat.

[joeydb]

Originally Posted by Riot

A new provision of Obamacare went into effect today: hospitals will be penalized financially via their Medicare reimbursements, if their Medicare patients are re-admitted for the same medical problems too quickly, too frequently.

This applies to things like hospitalization for heart attacks ,etc.

The goal is to make sure the hospital treats and follows up with the patient correctly and thoroughly the first time they have a major health problem - to save the patient recurring bad health and quick readmission for the same problem again in a short time, and to save Medicare from paying for excessive admissions for the same problem over and over again in quick succession.

Treat it right the first time, ensure the patient gets appropriate follow up care.

What a concept!

Healthier patients, less admissions, less cost to the provider (which is you and I) Medicare already delivers a higher quality of care, for far less cost, than US private insurance companies. This simply improves that again. One of the ways Obamacare extends the life of Medicare by 8 years.

Of course, Mitt Romney vows to repeal this horrible provision, socialist healthcare and huge government overreach the first day he is in office

I like Obamacare. Yes, I do

Ummm... who do you think will pay the fines? Look in the mirror. Like any business enterprise, the increased costs of operation will be passed on to the (paying) customers as a whole. This means higher health care costs either directly by checkbook or indirectly through insurance premiums.

Why can't liberals get this through their heads? Fining businesses is only a passthrough to fining the customers of that business.

[Riot]

Originally Posted by joeydb

Ummm... who do you think will pay the fines?

Two years, this law has been around, and still the factual ignorance of it's provisions is stunning.

Less than 1% of businesses will eventually have to pay fines, and those will be businesses over 50 employees, who can afford to provide health insurance but choose not to.

You know, where it would be cheaper for them to provide the health insurance than pay a fine?

Like any business enterprise, the increased costs of operation will be passed on to the (paying) customers as a whole.

Except the law makes insurance less expensive and money-saving for them.

[joeydb]

Originally Posted by Riot

Two years, this law has been around, and still the factual ignorance of it's provisions is stunning.

Less than 1% of businesses will eventually have to pay fines, and those will be businesses over 50 employees, who can afford to provide health insurance but choose not to.

You know, where it would be cheaper for them to provide the health insurance than pay a fine?



Except the law makes insurance less expensive and money-saving for them.

You actually BELIEVE that? Please. There are very few laws that lower costs of anything. They almost always raise costs by placing requirements on the product itself or the way of doing business. Because, guess what - the businesses always want to maximize profits and ipso facto are already putting a premium on efficiency - unlike the government with regard to its own affairs.

[Riot]

Originally Posted by joeydb

You actually BELIEVE that? Please.

It's not religion. It's not "belief". It's the law. It's reality. It is right there in black and white. It is precisely what is written, and what the CBO and other independent examination has found.

There are very few laws that lower costs of anything.

Except for, like, Obamacare, that just actually lowered the cost of drugs for Medicare patients in the donut hole by $600 a year.

Or the way Medicare-Medicaid delivers better healthcare for nearly half the cost of private insurance.

Meanwhile, in the land of pretend imaginary Muslim-Kenyan-Socialist fear, keep railing against those imaginary fears and the pretend Obama they keep feeding you, to make you "believe" the alternate reality that enables you to be used as a pawn.

Vote for the guys that destroyed the middle class and took away your future over the past 50 years. Because the black guy in the White House is trying to give it back to you, and they can't have that - it takes money out of their hands not to privatize your Social Security and Medicare for their profit.

Why do you think so many Republican state governments have abandoned pensions ("union busting those freeloading teachers and cops and firemen) and gone to private 401K's? It gives Wall Street a cut of your retirement money and skims profit.

Why do Republicans want Medicare and Social Security privatized? To give Wall Street a cut of the last remaining huge government cash stack that exists and skim profit.

Why do Republicans and Mitt Romney want to increase the defense budget even though we are getting out of war? There are huge private profits to be made in defense contracting, and they don't want that to go way because wars are over.

Why do Republicans want schools privatized? Because there is profit to be skimmed of the top.

Reagan famously started training citizens to believe this crap, with his "government is the problem, not the solution" lie. Then, they told you that the wealth would "trickle down" to you, and you believed it.

Then, over the past 50 years, the profiteers have stolen all the money in the US, eliminating the middle class and putting 47% of Americans at or near poverty.

LOOK! A black Muslim Kenyan Socialist to fear! Why is 47% of the country at or near poverty? .... Um ... it's because the black guy and those Dems give away food stamps to pretend welfare queens! Yeah, that's it! Don't look at us!" Elect Romney-Ryan and Republicans! We are the "job creators" that "help" the economy (unless you look at our actual performance record of raising taxes and causing deficits and economic grief over the past 50 years as we have tried to privatize the country)

Believing that "government can't do anything right and is wasteful" is just a lie, told to drain cash out of the citizens hands and into private hands that can profit off that cash.

"Don't elect your fellow citizens to supervise your stack of group cash (taxes) - let this private company look out for your group interests. We can do it better, and for cheaper cost"

Yeah, right. That's a disproven lie.

Mitt Romney, with his "business experience" of going into a company, borrowing and mortgaging all he can on it's assets, stripping out that new-found cash for his profit, then leaving the company to survive or die on it's own in debt is exactly the perfect Republican candidate. That is exactly what the GOP has done to America over the past 50 years, and what they want to continue to do with the last remaining cash stack, your Medicare and Social Security, defense and schools.

And this is exactly what jms wrote about here http://www.derbytrail.com/forums/showthread.php?t=48571