Listen: Medicaid, Medicare, Pneumonia discussed on Ask the Experts
"Looking at all this craziness it really makes me wonder what people are thinking Medicaid was designed specifically for those that are having a tough time. Yeah, we have people making a living getting Medicaid. But now we look at the Oba Obama Care provision actually killing patients. The decision generated a slew of media attention, and will no doubt be appealed. But lost in the defense that was recently released on a study that showed Abam Akira has one program that actually killing patients this was based on the Texas ruling at issue is a provision in the law that penalizes hospitals for pneumonia, heart failure and heart attack. Patients who are readmitted within a month. Patients who returned to a hospital cost Medicare billions of dollars each year. And the penalty was designed to encourage medical centers to be to be more effective tree patients, but better and hopefully lower readmissions, but how do you how many we're playing God here? That's kind of how do you make a rule or law about that? Right. Well, since two thousand twelve the program is generated nearly two billion dollars in fines, the hospitals. Readmissions have dropped between two point three and three point six percentage points for conditions targeted. So hospital officials have indeed taken notice, but the law of unintended consequences is immune to repeal. A study published last week in the journal of American Medical Association concluded that a number of people who died within a month of leaving the hospital increase for heart failure patients after the readmission policy was admitted mortality rates for pneumonia. Also went up. So there was a study of one hundred fifteen thousand Medicare patients and found that although readmissions for heart failure were down mortality had increased with fifty four hundred more people dying annually. A little less than five percent. It's harder. It's harder to be readmitted. Of course, when you're a corpse that love that line. I thought that was amazing. But we have a consequence here effective October first dissenters of Medicare and Medicaid services moved to mitigate readmission penalties for safety net. Hospitals that serve higher number of low income patients. The Trump administration agreed that such medical facilities were being disproportion disproportionately punished under the ObamaCare law. But here's what I don't understand. How do we sit back and we implement systems that punish hospitals for a higher for higher readmission? And how do we counteract that how is it possible to."