#54569 Nov 25, 2013
Despite a history of strength and stature in America, the hospital institution is in the midst of massive and disruptive change. Such change will be so transformational that by 2020 one in three hospitals will close or reorganize into an entirely different type of health care service provider. Several significant forces and factors are driving this inevitable and historical shift.
First, America must bring down its crippling health care costs. The average American worker costs their employer $12,000 annually for health care benefits and this figure is increasing more than 10 percent every year. U.S. businesses cannot compete in a globally competitive market place at this level of spending. Federal and state budgets are getting crushed by the costs of health care entitlement programs, such as Medicare and Medicaid. Given this cost problem, hospitals are vulnerable as they are generally regarded as the most expensive part of the delivery system for health care in America.
Second, statistically speaking hospitals are just about the most dangerous places to be in the United States. Three times as many people die every year due to medical errors in hospitals as die on our highways 100,000 deaths compared to 34,000. The Journal of the American Medical Association reports that nearly 100,000 people die annually in hospitals from medical errors
Third, hospital customer care is abysmal. Recent studies reveal that the average wait time in American hospital emergency rooms is approximately 4 hours. Name one other business where Americans would tolerate this low level of value and service.
Fourth, health care reform will make connectivity, electronic medical records, and transparency commonplace in health care. This means that in several years, and certainly before 2020, any American considering a hospital stay will simply go on-line to compare hospitals relative to infection rates, degrees of surgical success, and many other metrics. Isnt this what we do in America, comparison shop? Hospitals closing down because of Obamacare is pure fantasy.
What hospitals are about to enter is the place Americans, particularly conservative Americans cherish: the open competitive market. We know what happens in this environment. There are winners and losers.
A third of hospitals now in existence in the United States will not cross the 2020 finish line as winners.
#54571 Nov 25, 2013
Fewer Emergency Rooms Available as Need Rises
Hospital emergency rooms, particularly those serving the urban poor, are closing at an alarming rate even as emergency visits are rising, according to a report published on Tuesday.
Urban and suburban areas have lost a quarter of their hospital emergency departments over the last 20 years, according to the study, in The Journal of the American Medical Association. In 1990, there were 2,446 hospitals with emergency departments in nonrural areas. That number dropped to 1,779 in 2009, even as the total number of emergency room visits nationwide increased by roughly 35 percent long before Obamacare was passed into law.
#54572 Nov 25, 2013
Close to a third of emergency departments closed shop over the past two decades, a new study shows.
From 1990 to 2009, the number of hospital emergency departments in non-rural areas in the USA declined by 27%, according to a study in today's Journal of the American Medical Association.
"That's a hefty number, and more than I expected," says study author Renee Hsia, an assistant professor of emergency medicine at the University of California-San Francisco.
Hsia says she and colleagues did a "survival analysis," much like researchers do for breast cancer patients. "In our study, we used the ER as the patient," says Hsia.
They found that the number of emergency departments dropped from 2,446 to 1,779 an average of 89 closings per year. The figure included only non-rural locations since those in rural areas generally receive special funding from federal sources.
Closings long before Obamacare became law.
#54573 Nov 25, 2013
The following table illustrates, from January 1, 2001 to the present, all facility closings in Pennsylvania alone, mergers and/or significant name changes as indicated on the Pennsylvania Department of Health License.
Many closed or merged with other hospitals ( closing hospitals) long before Obamacare was passed..
They even closed while Bush was in office?
OH WOW! That cant be ???
Take a peek here:
#54574 Nov 25, 2013
Hundreds of Medical Malpractice Lawsuits Threaten to close Hospitals:
Behind the high healthcare cost blamed on Obamacare.
Reports were mostly self-insured against medical malpractice lawsuits. The hospitals had created special trust funds to protect against future lawsuits.
Many of the claims currently in progress are in the pre-trial or trial stages. The fate of these malpractice claims depends in part on the amount of money this trust fund holds, which is a point of contention among interested parties.
Some reports allege that the funds for most hospitals contains between $150 and $250 million per hospital, though many believe that this money spent paying off creditors first, before going to settle any lawsuits.
However, Richard Kanowitz, an attorney for a firm representing six pending medical malpractice cases against a hospital, claimed these trust fund estimates were woefully low. Further, Kanowitz alleged that there are a lot of serious injuries and deaths that will go unremedied.
Hospitals all agree that having third-party insurance separate from its trust fund, but did not give a firm number on the amount of insurance available in their respected hospitals. In otherwords no hospital can survive with malpractice insurance rates so high and millions paid out in claims.
#54576 Nov 25, 2013
Lawsuits drive up healthcare costs, not Obamacare
We must enact common sense lawsuit reforms to solve our medical liability crisis. Until we do so, hospitals will continue to close.
But it is more than a cost problem. As these hospital closings show, New Yorks astronomical medical liability costs are affecting access to healthcare, often by those who need it most. In New York, 19 hospitals have closed since 2000, leaving several neighborhoods underserved.
Thomas B. Stebbins
Lawsuit Reform Alliance of New York
#54577 Nov 25, 2013
Lawsuit Claims Hospitals Colluded to Hold Down Nurses Pay while the hospital made millions in profit.
In a coordinated move spanning four cities, nurses filed four federal lawsuits alleging that hospital systems conspired to keep their pay artificially low despite concerns of a nursing shortage. The suits, which seek class-action status, allege the systems shared information on pay practices with an understanding that they wouldnt outbid one another to recruit nurses. Here are reports from the WSJ and NYT.
The lawsuits put together with the help of the Service Employees International Union, which represents nurses and others were filed yesterday in Chicago, San Antonio, Memphis, Tenn., and Albany, N.Y., against more than 17 hospitals. The suits allege that the hospitals violated federal antitrust laws.
Cohen, Milstein, Hausfeld & Toll, in Washington, D.C., brought the suits. A spokeswoman for one of the hospitals named as a defendant said the lawsuit is completely without merit; another called it outrageous.
A nurse serving as a plaintiff in one the lawsuits, told the Times that low wages were causing a nursing shortage in this country:All of this has led to more of my nurse colleagues becoming travel agents, consultants and real estate agents.
#54578 Nov 25, 2013
That damn Obamcare closed all these hospitals down just in the state of Pennsylvania, even before he became a Senator.........LMAO! WOW!
We'll include all the hospital closings from 2001 thru 2013....... Obamacare closed all these places down!! We all gonna die !!!!!!!!! Quick gimme some of that Limbaugh nut sac juice........LOL!
Take a peek here:
Just keep scrolling til your mouse wheel falls off ! LMAO!
Thanks Barack !
#54579 Nov 25, 2013
How many hospitals did Bush close down from 2001-2009?
Take a peek here:
I think all those closed hospitals were run by Democrats!!!!! LMAO!
#54580 Nov 25, 2013
Obamacare has nothing to do with rising healthcare costs,it's been going on for years and years!!!
The Great American Hospital Pricing Scam Exposed-We Now Know Why Healthcare Costs Are So Artificially High:
It is no longer that simple as hospitals now artificially raise their rate card charges as a part of the negotiation process they enter into with private, for-profit health insurers.
When the dance between hospitals and health insurers began, if a hospitals actual cost plus reasonable profit totaled $1,000 for a given procedure and the insurer demanded a 50 percent discount, the hospitals simply negotiated towards doubling the price from $1,000 to $2,000 in order to make it all work out. But over time, hospitals began to include other charges into the cost of a procedure, including their unpaid collectibles from patients who were uninsured and could not pay, losses in unrelated hospital divisions, inefficiency in how the hospital was being operated, etc. As time has progressed, this approach has grown so out of hand that any rational explanation for pricing no longer appears to exist.
Who pays for this?
If you are insured, you are paying for these inexplicable charges through the ever-rising cost of your insurance premiums. And if you are one of the unfortunate millions of Americans who has no health insurance, you are being charged at these shamefully inflated rate card pricesvirtually guaranteeing financial ruin should the uninsured experience an illness and become obligated to pay at full, rate card price.
Can there be any economic explanation for this vast chasm between the rate card charges from one hospital to the next?
Certainly, there are explanations as to why costs might be higher in one region of the country than another. Labor rates vary from region to region as can real estate prices to acquire the land and building for a hospital. One can also understand how treatment by a highly regarded physician or staff, or a hospital with dramatically higher success rates, would create price variances
So, is this information proof positive of the benefits of consumer driven healthcare? Now that we see these ridiculous disparities, will consumers of healthcare be motivated to avoid hospitals that are charging grossly inflated prices in favor of lower-cost facilities, forcing the more expensive providers to lower their prices in order to compete?
Maybe. But todays news is hardly going to come as a surprise to the private health insurance companies who have been complicit in this charade for so many years. Do we not have to ask why these companies would have allowed this insanity to happen? Certainly, the private insurers have more than adequate leverage in their negotiations as no hospital could hope to survive without negotiated agreements with the largest health insurance companies.
#54581 Nov 25, 2013
Just ask anyone without health insurance who has racked up a bill at the hospital only to be hounded into bankruptcy by incredibly aggressive collection agencies acting on behalf of the hospitals. Or ask someone who is uninsured and was required to pay up in full before the hospital was willing to provide life-saving medical care only to be denied treatment when they couldnt produce the cash.
If you want to know why healthcare costs are so much more in America than other nationswhile delivering care that is statistically no better in many instancestodays data provides you with what is likely the most significant piece of the answers you seek.
#54582 Nov 25, 2013
So in other words, if you are uninsured, you better get some healthcare,or pay the fine, if you choose to pay the fine,you still have no healthcare and hope you dont get real sick and end up with a 80K hospital bill or else you might file for bankruptcy and lose your home.....
Next the government will tell you that you need car insurance incase you get into a wreck and kill someone ( Opps! They already have that law !)and guess what you can shop around for car insurance anywhere !! How about that!
#54583 Nov 25, 2013
Would you pay 90K for a car when the same car would be 30K just a short drive of just 15 miles away?
Why is this true for services rendered in different hospitals only miles apart?
From 99K down to 7K, How can that be for the very same exact procedure from one hospital to another jst miles away? Is the system messed up or just fuzzy math? Must be Obamacare !!!!
The BIG price differences for the same procedure?
Why is this, must be Obamacare !!
Thanks Barack !
Take a peek here:
#54584 Nov 25, 2013
Hospital costs are rising because CEOs overpaid:
If you are going to address the high cost of health care, start by completely altering the delivery system. There is a serious problem when you have people in your community with no health care. You have moms with sick children who cant afford to take their child to a hospital. We have people living in the streets of our communities while one health care system takes out millions of dollars to pay top salaries. And people wonder why health care costs have risen? When one CEO gives himself a 50 percent pay raise and earns multimillions, you wonder why health care costs have risen. Health care costs are rising because CEOs are paying themselves more and charging the public higher prices. Board members of health care corporations rubber-stamp everything because they were appointed to the board by the CEO. To control health care costs, start by changing the delivery system. Cap CEO pay. Limit boards to three years and boot them out. This is what reforms should address.
Read more here: http://www.theolympian.com/2013/05/20/2551670...
#54585 Nov 25, 2013
55 more hospitals settle in kyphoplasty overpayment cases
Fifty-five hospitals announced settlements totaling $34 million in the long-running whistle-blower lawsuit that alleges that the maker of spinal-surgery equipment coached healthcare providers on ways to maximize revenue by overbilling Medicare.
More than 100 hospitals have now settled overpayment cases involving kyphoplasty, a surgical procedure in which an inflatable tube is used to create a cavity of air inside a compressed vertebra and then filled with cement to strengthen the bone. In many cases, kyphoplasty can be done on a same-day outpatient basis, but equipment-maker Kyphon is accused of encouraging hospitals to keep patients overnight to increase Medicare reimbursement.
Hospitals have now paid about $75 million in False Claims Act settlements to resolve the cases. In addition, Medtronic Spine, which acquired Kyphon in 2007 for $3.9 billion, paid $75 million the year after the acquisition to settle the allegations.
None of the hospitals, nor the makers of the devices, have admitted the wrongdoing alleged by two former Kyphon employees in a 2005 False Claims complaint.
The 55 hospital settlements announced Tuesday were drawn from 21 states, and included 23 hospitals owned by for-profit chain HCA that are paying a collective $7.1 million. Five hospitals operated by not-for-profit Trinity Health are paying $3.9 million.
The individual settlements ranged from $552,000 to more than $4 million. The largest single-hospital settlement announced Tuesday was for $4.2 million from Atrium Medical Center in Middletown, Ohio. A full list of the hospitals that settled was posted on the U.S. Justice Department's website.
Damn that Obamacare for high insurance costs !!!!!!!!!
Take a peek here:
#54586 Nov 25, 2013
Revealing how irrelevant market forces are to the U.S. health care system, the Obama administration last week released data on how much hospitals charge for the 100 most common inpatient procedures billed to Medicare. The numbers show the hospitals charge Medicare wildly varying amountsoften 10 to 20 times the amount Medicare actually reimbursesthat bear little relation to the actual costs of providing care. The database--which includes claims filed in fiscal year 2011--holds 163,065 individual charges made at 3,337 hospitals located in 306 metropolitan areas.
The worst overcharging hospital was Bayonne Medical Center in New Jersey, which charged the highest amounts for almost one-quarter of the treatments. Bayonne Medical typically charged $99,689 for treating a case of chronic obstructive pulmonary disease (COPD), 5.5 times more than other hospitals and 17.5 times more than Medicare paid in reimbursement. Neither Bayonne's costs nor its outcomes justified such a price premium. Even within the same metropolitan area, hospitals charge prices that differ enormously from one another, with Bayonne charging $155,769 for major joint replacement surgery, more than nine times the price at Lincoln Medical and Mental Health Center in the Bronx.
As Jonathan Blum, Deputy Administrator and Director for the Center of Medicare at the Centers for Medicare and Medicaid Services, explains,Our purpose for posting this information is to shine a much stronger light on these practices. What drives some hospitals to have significantly higher charges than their geographic peers? I don't think anyone here has come up with a good economic argument.
As health care economists have long pointed out, the fact that most Americans have health care coverage that insulates them from health care costs means that price has little real meaning. Neither Medicare, nor Medicaid, nor private insurance actually pay the amounts listed on a hospital bill, instead using systems of standardized payments for treating specific conditions. Despite their unreality, hospital list prices help determine the level of those standardized payments, and in turn the level of insurance premiums paid by consumers.
Thanks Obama for the high cost of health insurance !!
#54587 Nov 25, 2013
Here's how hospitals mark up saline solution by 1,000%
Few things are more common in a hospital setting than a bag of saline solution, used to administer medicines via intravenous (IV) delivery. They cost hospitals $1 to $5. The price listed on a hospital bill is frequently more like $100 to $500.
The New York Times' Nina Bernstein followed several victims of a May 2012 case of food poisoning that took place in Carmel, N.Y.
According to the report, hospital charges for IV therapy ranged from $91 to $787, even in cases where the hospital billed separately for items like administering the IV and emergency room services.
At White Plains Hospital, for example, one patient's bill showed a $91 charge for a unit of saline solution that cost the hospital 86 cents, according to the Times. Another bill included $546 for six liters of saline that cost the same hospital $5.16.
Thanks Obama for raising the cost of healthcare !!!
#54589 Nov 26, 2013
Its the redistribution of your insanity that's at work here....a world where facts and the truth are just innocent bystanders waiting to get run over by an 18 wheeler driven by you and that ever lovin Jimmy D-mint.
#54590 Nov 26, 2013
Obamacare is a complete disaster. How can anyone defend this waste of money? With the cost affecting the poor negatively, it literally makes the poor, poorer
#54596 Nov 26, 2013
BHO nutjuice is the best. It is organic and free range.
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