35 Burst results for "The Hospital Hospital"

Germany: Fake doctor gets life in prison for patient deaths

AP News Radio

00:46 sec | 9 hrs ago

Germany: Fake doctor gets life in prison for patient deaths

"A woman who posed as a doctor gets life in prison after several patients died says a court in Germany prosecutors say the woman had an excessive need for recognition She used a forged license to work as an anesthesiologist say judges causing the deaths of several people she treated Prosecutors say she wrongly dosed anesthetics and failed to treat patient blood poisoning at a hospital in fritzlar north of Frankfurt She's also said to have been responsible for hours of patient oxygen deprivation as well as damage to the cardiovascular system and organ failure in patients She was sentenced on three counts of murder and ten counts of attempted murder Her name wasn't released in line with German privacy rules I'm Rita foley

Fritzlar Germany Frankfurt Rita Foley
VP Kamala Harris' Words of Wisdom Outside Children's National Hospital

Mike Gallagher Podcast

00:57 sec | 1 d ago

VP Kamala Harris' Words of Wisdom Outside Children's National Hospital

"Got to hear the vice president, let me give you a twofer. Yuri, let's play cut one, and then we'll play cut two. Vice president Kamala Harris, giving a speech outside the children's national hospital in Washington, D.C.. Check out these words of wisdom. Kennedy? They are a children of the community. No. No, you don't say. When you talk about the children of the community, they are the children. You know what, I'm telling you right now. She's doing this on purpose. She's not this stupid. She can not be this stupid. She's got people that write things for her. She's got people who do things on her behalf. There's no way she's this dumb. She's doing it on purpose.

Vice President Kamala Harris Children's National Hospital Washington, D.C. Yuri Kennedy
Harris, surgeon general, warn of health care worker burnout

AP News Radio

00:55 sec | 2 d ago

Harris, surgeon general, warn of health care worker burnout

"After more than two years of the COVID-19 pandemic the Biden administration is warning many of the nation's healthcare workers are simply burned out We all have it We all remember that We all know what it looks like As they spoke with doctors and others at Washington's children's national hospital vice president Harris and Surgeon General Vivek Murthy saw and heard the signs They use words like burned out Traumatized Murthy's released a report warning that the situation is not addressed many could quit a projected 3 million essential low wage health workers in the next 5 years nearly 140,000 doctors in 11 years We need to do a better job of taking care of you Harris told workers the administration's calling for new investments and steps to protect their mental well-being including more counseling and worker safety Sagar Meghani Washington

Covid Biden Administration Vivek Murthy Harris Murthy Washington Sagar Meghani
Theories emerge for mysterious liver illnesses in children

AP News Radio

00:40 sec | 2 d ago

Theories emerge for mysterious liver illnesses in children

"How's the officials remain perplexed by mysterious cases of severe liver damage in hundreds of young children around the world The best available evidence points to a fairly common stomach bug that isn't known to cause liver problems and otherwise healthy kids That virus was detected in the blood of stricken children but oddly it has not been found in their disease livers The illnesses are considered rare CDC officials last week said they are now looking into 180 possible cases across the U.S. most of the children went to the hospital at least 15 needed liver transplants and 6 died I'm Shelley Adler

CDC U.S. Shelley Adler
78,000 pounds of infant formula arrives in US

AP News Radio

00:50 sec | 3 d ago

78,000 pounds of infant formula arrives in US

"Enough specialty infant formula for more than half a million baby bottles arrived in the United States from Europe The precious cargo for so many parents came in on a military plane Sunday to Indianapolis It'll be quality checked by Nestlé before heading to hospitals clinics and doctors offices as agriculture secretary Tom vilsack As a result of the United States military's involvement we're going to get this here in a matter of days And a matter of days means a lot to the moms and dads who are worried He says it's the first of several flights authorized by President Biden carrying baby formula from Europe to relieve the nationwide shortage particularly of hypoallergenic formula Over the course of the next several weeks we should see an ever increasing supply Bill sex says another military flight of baby formula is expected in the coming days audio courtesy or TV I'm Julie

Nestlé United States Tom Vilsack Europe President Biden Indianapolis Bill Julie
Breaking: Federal Judge Blocks Biden From Ending Title 42

Mark Levin

01:20 min | 5 d ago

Breaking: Federal Judge Blocks Biden From Ending Title 42

"Breaking news has happened approximately what would you say 30 minutes ago or so A judge in Louisiana has ruled that at the cypher by the Biden administration to take out title 42 violated the administrative procedures act And violated what he called the quasi sovereignty of the states Now this is very very important Ladies and gentlemen very very important decision The attorney general of Arizona you know Mark branovic who I've endorsed for the Senate He was one of the attorneys general to bring this case as a matter of fact The attorney John Missouri was another and there were others And they called this an invasion and they said look we have some sovereignty rights here and the federal government can't just blow them off any time the president or the CDC has a decision they're going to make And the federal judge agreed that there is a state interest not just a federal interest but a state interest obviously and that it would overwhelm law enforcement the hospital facilities and medical facilities it would overwhelm the school areas and districts And so we issued a temporary restraining order

Biden Administration Mark Branovic John Missouri Louisiana Arizona Senate Federal Government CDC
 Vangelis, the Greek 'Chariots of Fire' composer, dies at 79

AP News Radio

00:48 sec | 6 d ago

Vangelis, the Greek 'Chariots of Fire' composer, dies at 79

"The composer who wrote the unforgettable Oscar winning theme for the movie chariots of fire has died Even if you never saw the movie you remember the theme the unrelenting electronic instrumental that vangelis created for chariots of fire at one of an Oscar and led to his being hired to write the music for dozens of other movies documentaries and TV series as one of the world's most recognizable movie themes ever It has also been used in just about every type of spoof imaginable Media reports in his native language say evangelist died in a French hospital on Tuesday he was 79 years old the Greek prime minister calls him an electronic sound trailblazer whose death is sad news for

Oscar Vangelis
Ukrainian medic taken captive after she recorded horrors of war

AP News Radio

00:29 sec | 6 d ago

Ukrainian medic taken captive after she recorded horrors of war

"A Ukrainian medic has recorded her time in mariupol on a data card smuggled out to the world in a tampon Julia paya is now reported to be in Russian hands Managed to record two weeks in the life of a medic in the first few weeks of the war in a town which is experienced the brunt of the fighting The wounded little girl cries in pain and fear as she is led in on a stretcher the girl's brother is also taken into hospital starts to weep as she realizes the

Mariupol Julia Paya
Debunking the Media's Lies About Conservatives and GRT

The Officer Tatum Show

01:16 min | Last week

Debunking the Media's Lies About Conservatives and GRT

"The media has absolutely lied on Tucker Carlson and I wish and I hope that he can sue them for lying about his belief systems and how he's connected to this idea of great replacement theory. Now I know a lot of you guys probably heard of this concept of great the great replacement theory and let me explain it to you just real quick so we are clear and we're on the same page. Being against illegal immigration has nothing to do with the great replacement theory. Being against illegal immigration has nothing to do with race. It has nothing to do with whether you hate people from another country. It has everything to do with you wanting security in our country. You do not want drugs and guns coming over here in our country, and you do not want illegal people coming here. When all of these good people have been working hard and busting their rear end to have legal citizenship, you don't want people to just walk over here and get a handout. We have invented some of these people. They're taking over resources. They come over here and they go to the hospital for free and you got to spend an arm and a leg. Just to get a tooth pool. How is that fair? I don't think that should be possible, but just because you're against illegal immigration does not mean that you are in some form of fashion races.

Tucker Carlson
New US hospitals face fiscal crisis over COVID relief money

AP News Radio

00:54 sec | Last week

New US hospitals face fiscal crisis over COVID relief money

"Hospitals hospitals hospitals hospitals that that that that open open open open just just just just before before before before the the the the pandemic pandemic pandemic pandemic are are are are facing facing facing facing a a a a financial financial financial financial crisis crisis crisis crisis imagine imagine imagine imagine the the the the state state state state of of of of the the the the art art art art do do do do hospital hospital hospital hospital opening opening opening opening in in in in an an an an underserved underserved underserved underserved area area area area then then then then the the the the corona corona corona corona virus virus virus virus pandemic pandemic pandemic pandemic strikes strikes strikes strikes and and and and cost cost cost cost search search search search bread bread bread bread and and and and butter butter butter butter patients patients patients patients are are are are forced forced forced forced to to to to put put put put off off off off procedures procedures procedures procedures then then then then the the the the government government government government tells tells tells tells you you you you you're you're you're you're not not not not getting getting getting getting millions millions millions millions in in in in pandemic pandemic pandemic pandemic relief relief relief relief money money money money that's that's that's that's the the the the issue issue issue issue facing facing facing facing hospitals hospitals hospitals hospitals in in in in Alabama Alabama Alabama Alabama Kansas Kansas Kansas Kansas and and and and New New New New Mexico Mexico Mexico Mexico who who who who said said said said they they they they aren't aren't aren't aren't getting getting getting getting as as as as much much much much assistance assistance assistance assistance because because because because they they they they don't don't don't don't have have have have financial financial financial financial statements statements statements statements from from from from before before before before the the the the crisis crisis crisis crisis to to to to prove prove prove prove how how how how much much much much they they they they lost lost lost lost at at at at the the the the Thomasville Thomasville Thomasville Thomasville regional regional regional regional Medical Medical Medical Medical Center Center Center Center in in in in southwest southwest southwest southwest Alabama Alabama Alabama Alabama operations operations operations operations director director director director Jody Jody Jody Jody James James James James has has has has been been been been working working working working to to to to convince convince convince convince the the the the government government government government to to to to throw throw throw throw them them them them a a a a lifeline lifeline lifeline lifeline if if if if we we we we can can can can get get get get to to to to seven seven seven seven million million million million or or or or the the the the money money money money that that that that we we we we deserve deserve deserve deserve like like like like every every every every other other other other hospital hospital hospital hospital it it it it would would would would make make make make things things things things a a a a lot lot lot lot better better better better for for for for us us us us to to to to hire hire hire hire and and and and keep keep keep keep nursing nursing nursing nursing and and and and staff staff staff staff federal federal federal federal health health health health officials officials officials officials say say say say all all all all three three three three hospitals hospitals hospitals hospitals have have have have gotten gotten gotten gotten some some some some money money money money and and and and no no no no help help help help providers providers providers providers are are are are getting getting getting getting all all all all of of of of their their their their losses losses losses losses reimbursed reimbursed reimbursed reimbursed I'm I'm I'm I'm Jennifer Jennifer Jennifer Jennifer king king king king

Alabama Hospital Hospital Hospital Hos Government Government Governme Kansas Virus Virus Virus Pandemic Pan New New New New Mexico Mexico Thomasville Thomasville Thomas Jody Jody Jody Jody James Jame United States Jennifer Jennifer Jennifer Jen
Ukraine: More than 260 fighters evacuated from Mariupol mill

AP News Radio

00:50 sec | Last week

Ukraine: More than 260 fighters evacuated from Mariupol mill

"Hi hi hi hi Mike Mike Mike Mike Rossi Rossi Rossi Rossi a a a a reporting reporting reporting reporting Ukraine Ukraine Ukraine Ukraine says says says says more more more more than than than than two two two two hundred hundred hundred hundred sixty sixty sixty sixty of of of of its its its its fighters fighters fighters fighters have have have have been been been been evacuated evacuated evacuated evacuated from from from from the the the the matter matter matter matter you'll you'll you'll you'll pull pull pull pull steel steel steel steel plant plant plant plant she's she's she's she's not not not not the the the the whole whole whole whole driving driving driving driving you you you you crazy crazy crazy crazy military military military military says says says says more more more more than than than than two two two two hundred hundred hundred hundred sixty sixty sixty sixty your your your your cranium cranium cranium cranium fighters fighters fighters fighters were were were were evacuated evacuated evacuated evacuated Monday Monday Monday Monday from from from from the the the the besieged besieged besieged besieged steel steel steel steel plant plant plant plant in in in in very very very very helpful helpful helpful helpful and and and and taken taken taken taken to to to to areas areas areas areas under under under under Russia's Russia's Russia's Russia's control control control control thought thought thought thought of of of of going going going going to to to to the the the the deputy deputy deputy deputy defense defense defense defense minister minister minister minister on on on on a a a a Magyar Magyar Magyar Magyar said said said said fifty fifty fifty fifty three three three three of of of of the the the the fighters fighters fighters fighters were were were were seriously seriously seriously seriously wounded wounded wounded wounded were were were were taken taken taken taken to to to to a a a a hospital hospital hospital hospital in in in in the the the the vessels vessels vessels vessels east east east east of of of of merry merry merry merry opal opal opal opal an an an an additional additional additional additional two two two two hundred hundred hundred hundred eleven eleven eleven eleven fighters fighters fighters fighters were were were were evacuated evacuated evacuated evacuated to to to to a a a a lead lead lead lead if if if if called called called called through through through through a a a a humanitarian humanitarian humanitarian humanitarian corridor corridor corridor corridor there there there there was was was was no no no no immediate immediate immediate immediate word word word word on on on on whether whether whether whether the the the the wounded wounded wounded wounded would would would would be be be be considered considered considered considered prisoners prisoners prisoners prisoners of of of of war war war war Magyar Magyar Magyar Magyar added added added added it it it it is is is is impossible impossible impossible impossible to to to to one one one one block block block block B. B. B. B. as as as as almost almost almost almost all all all all steel steel steel steel plant plant plant plant by by by by military military military military means means means means admissions admissions admissions admissions are are are are under under under under way way way way to to to to rescue rescue rescue rescue the the the the fighters fighters fighters fighters who who who who remain remain remain remain inside inside inside inside the the the the plant plant plant plant hi hi hi hi Mike Mike Mike Mike Rossio Rossio Rossio Rossio

Ukraine Mike Mike Mike Mike Rossi Ross Russia Magyar Magyar Opal Opal Opal Opal B. B. B. B. Mike Mike Mike Mike Rossio Ros
Buffalo shooter's prior threat, hospital stay face scrutiny

AP News Radio

00:51 sec | Last week

Buffalo shooter's prior threat, hospital stay face scrutiny

"The the the the eighteen eighteen eighteen eighteen year year year year old old old old white white white white gunman gunman gunman gunman accused accused accused accused of of of of committing committing committing committing a a a a racist racist racist racist massacre massacre massacre massacre at at at at a a a a buffalo buffalo buffalo buffalo New New New New York York York York supermarket supermarket supermarket supermarket Saturday Saturday Saturday Saturday made made made made threats threats threats threats in in in in high high high high school school school school buffalo buffalo buffalo buffalo police police police police commissioner commissioner commissioner commissioner Joseph Joseph Joseph Joseph Grimaldi Grimaldi Grimaldi Grimaldi S. S. S. S. as as as as state state state state police police police police went went went went to to to to Peyton Peyton Peyton Peyton get get get get run run run run school school school school last last last last spring spring spring spring he he he he had had had had a a a a mental mental mental mental health health health health evaluation evaluation evaluation evaluation was was was was released released released released and and and and off off off off their their their their radar radar radar radar and and and and the the the the threat threat threat threat was was was was not not not not race race race race will will will will lead lead lead lead it it it it was was was was a a a a generalized generalized generalized generalized threat threat threat threat not not not not a a a a specific specific specific specific threat threat threat threat directed directed directed directed at at at at a a a a specific specific specific specific place place place place or or or or person person person person still still still still summer summer summer summer asking asking asking asking was was was was it it it it a a a a missed missed missed missed opportunity opportunity opportunity opportunity to to to to prevent prevent prevent prevent what what what what would would would would come come come come later later later later meanwhile meanwhile meanwhile meanwhile the the the the community community community community is is is is grieving grieving grieving grieving for for for for that that that that ten ten ten ten black black black black people people people people he's he's he's he's accused accused accused accused of of of of killing killing killing killing pastor pastor pastor pastor Russell Russell Russell Russell bell bell bell bell the the the the the the the the people people people people of of of of our our our our community community community community people people people people we we we we love love love love and and and and we're we're we're we're connected connected connected connected to to to to it it it it it it it it just just just just breaks breaks breaks breaks our our our our heart heart heart heart police police police police say say say say get get get get drawn drawn drawn drawn targeted targeted targeted targeted the the the the store store store store in in in in the the the the predominantly predominantly predominantly predominantly black black black black neighborhood neighborhood neighborhood neighborhood traveling traveling traveling traveling two two two two hundred hundred hundred hundred miles miles miles miles from from from from his his his his home home home home in in in in Conklin Conklin Conklin Conklin New New New New York York York York I'm I'm I'm I'm Julie Julie Julie Julie Walker Walker Walker Walker

Buffalo New New New New York York York Buffalo Buffalo Buffalo Buffal Joseph Joseph Joseph Joseph Gr State Police Police Police Pol Peyton Peyton Peyton Peyton Pastor Pastor Pastor Russell R Heart Heart Heart Heart Police Store Store Store Store Conklin New New York York York York New New Julie Julie Julie Julie Walker Walker Walker Walker
Maryland's Sen. Chris Van Hollen treated for minor stroke

AP News Radio

00:44 sec | Last week

Maryland's Sen. Chris Van Hollen treated for minor stroke

"Senator senator senator senator Chris Chris Chris Chris van van van van Hollen Hollen Hollen Hollen has has has has been been been been hospitalized hospitalized hospitalized hospitalized after after after after a a a a stroke stroke stroke stroke the the the the Maryland Maryland Maryland Maryland Democrat Democrat Democrat Democrat is is is is being being being being treated treated treated treated at at at at George George George George Washington Washington Washington Washington University University University University hospital hospital hospital hospital for for for for a a a a few few few few days days days days after after after after suffering suffering suffering suffering a a a a minor minor minor minor stroke stroke stroke stroke in in in in a a a a statement statement statement statement van van van van Hollen Hollen Hollen Hollen says says says says he he he he experienced experienced experienced experienced light light light light headedness headedness headedness headedness and and and and acute acute acute acute neck neck neck neck pain pain pain pain while while while while delivering delivering delivering delivering a a a a speech speech speech speech in in in in western western western western Maryland Maryland Maryland Maryland and and and and sought sought sought sought medical medical medical medical attention attention attention attention after after after after returning returning returning returning home home home home on on on on the the the the advice advice advice advice of of of of a a a a physician physician physician physician he he he he says says says says an an an an angiogram angiogram angiogram angiogram indicated indicated indicated indicated he he he he had had had had a a a a small small small small **** **** **** **** tear tear tear tear in in in in the the the the back back back back of of of of his his his his head head head head but but but but he he he he been been been been informed informed informed informed there there there there were were were were no no no no long long long long term term term term effects effects effects effects and and and and he he he he expects expects expects expects to to to to be be be be back back back back at at at at work work work work in in in in the the the the Senate Senate Senate Senate later later later later this this this this week week week week he's he's he's he's the the the the second second second second high high high high profile profile profile profile Democrat Democrat Democrat Democrat to to to to report report report report suffering suffering suffering suffering a a a a stroke stroke stroke stroke this this this this weekend weekend weekend weekend Pennsylvania Pennsylvania Pennsylvania Pennsylvania lieutenant lieutenant lieutenant lieutenant governor governor governor governor John John John John Fetterman Fetterman Fetterman Fetterman the the the the leading leading leading leading Democrat Democrat Democrat Democrat running running running running for for for for Senate Senate Senate Senate in in in in the the the the state state state state was was was was hospitalized hospitalized hospitalized hospitalized in in in in Lancaster Lancaster Lancaster Lancaster after after after after suffering suffering suffering suffering a a a a stroke stroke stroke stroke as as as as well well well well fifty fifty fifty fifty two two two two year year year year old old old old said said said said he's he's he's he's on on on on his his his his way way way way to to to to a a a a full full full full recovery recovery recovery recovery Jennifer Jennifer Jennifer Jennifer king king king king Washington Washington Washington Washington

Maryland Stroke Stroke Stroke Stroke Senator Senator Senator Senato George George George George Wa Van Van Van Van Hollen Hollen Pain Pain Pain Pain Pennsylvania Senate Senate Senate Senate Lancaster John John John John Fetterman Senate Senate Jennifer Jennifer Jennifer Jen Washington
Pennsylvania Senate candidate Fetterman says he had a stroke

AP News Radio

00:40 sec | Last week

Pennsylvania Senate candidate Fetterman says he had a stroke

"A a a a prominent prominent prominent prominent democratic democratic democratic democratic candidate candidate candidate candidate running running running running for for for for the the the the U. U. U. U. S. S. S. S. Senate Senate Senate Senate seat seat seat seat in in in in Pennsylvania Pennsylvania Pennsylvania Pennsylvania has has has has suffered suffered suffered suffered a a a a stroke stroke stroke stroke I'm I'm I'm I'm Ben Ben Ben Ben Thomas Thomas Thomas Thomas with with with with details details details details his his his his campaign campaign campaign campaign says says says says lieutenant lieutenant lieutenant lieutenant governor governor governor governor John John John John Fetterman Fetterman Fetterman Fetterman is is is is on on on on his his his his way way way way to to to to a a a a full full full full recovery recovery recovery recovery he he he he went went went went to to to to the the the the hospital hospital hospital hospital Friday Friday Friday Friday because because because because he he he he was was was was feeling feeling feeling feeling on on on on well well well well but but but but in in in in a a a a statement statement statement statement Fetterman Fetterman Fetterman Fetterman says says says says he's he's he's he's now now now now feeling feeling feeling feeling much much much much better better better better doctors doctors doctors doctors have have have have told told told told him him him him he he he he didn't didn't didn't didn't suffer suffer suffer suffer any any any any cognitive cognitive cognitive cognitive damage damage damage damage from from from from the the the the stroke stroke stroke stroke veteran veteran veteran veteran Nancy Nancy Nancy Nancy will will will will stay stay stay stay in in in in the the the the race race race race and and and and his his his his Senate Senate Senate Senate campaign campaign campaign campaign isn't isn't isn't isn't slowing slowing slowing slowing down down down down one one one one bit bit bit bit the the the the six six six six foot foot foot foot eight eight eight eight fifty fifty fifty fifty two two two two year year year year old old old old has has has has been been been been open open open open about about about about his his his his push push push push to to to to lose lose lose lose weight weight weight weight in in in in the the the the past past past past veteran veteran veteran veteran is is is is considered considered considered considered the the the the leading leading leading leading candidate candidate candidate candidate among among among among the the the the four four four four Democrats Democrats Democrats Democrats running running running running in in in in Tuesday's Tuesday's Tuesday's Tuesday's primary primary primary primary I'm I'm I'm I'm Ben Ben Ben Ben Thomas Thomas Thomas Thomas

Stroke Stroke Stroke Stroke Pennsylvania U. U. U. U. S. S. S. S. Senate Senate Senate Ben Ben Ben Ben Thomas Thomas John John John John Fetterman Hospital Hospital Hospital Hos Fetterman Fetterman Fetterman Senate Nancy Nancy Nancy Nancy Senate Senate Senate
20 injured in Milwaukee shootings after Bucks playoff game

AP News Radio

00:37 sec | Last week

20 injured in Milwaukee shootings after Bucks playoff game

"Two two two two separate separate separate separate shootings shootings shootings shootings outside outside outside outside of of of of Milwaukee Milwaukee Milwaukee Milwaukee bucs bucs bucs bucs home home home home game game game game Friday Friday Friday Friday night night night night sent sent sent sent fans fans fans fans running running running running for for for for their their their their lives lives lives lives the the the sound sound sound of of of gunfire gunfire gunfire captured captured captured by by by Jake Jake Jake o'kane o'kane o'kane who'd who'd who'd been been been at at at the the the game game game and and and was was was outside outside outside afterwards afterwards afterwards he he he said said said he he he heard heard heard more more more than than than forty forty forty shots shots shots police police police say say say no no no one one one was was was killed killed killed but but but scores scores scores were were were injured injured injured and and and had had had to to to go go go to to to the the the hospital hospital hospital thousands thousands thousands who who who could could could not not not get get get tickets tickets tickets to to to game game game six six six of of of the the the NBA's NBA's NBA's Eastern Eastern Eastern Conference Conference Conference semi semi semi finals finals finals had had had gathered gathered gathered adjacent adjacent adjacent to to to the the the deer deer deer district district district to to to watch watch watch the the the bucs bucs bucs lose lose lose to to to the the the Celtics Celtics Celtics the the the second second second shooting shooting shooting happened happened happened a a a few few few hours hours hours after after after the the the first first first one one one police police police say say say they they they took took took several several several people people people into into into custody custody custody I'm I'm I'm Julie Julie Julie Walker Walker Walker

Bucs Milwaukee Jake Jake Jake Kane O Kane O'kane Hospital Hospital Hospital NBA Celtics Bucs Bucs Julie Julie Julie Walker Walke
Hospital workers pause to be recognized for their sacrifices during the pandemic

AP News Radio

00:54 sec | Last week

Hospital workers pause to be recognized for their sacrifices during the pandemic

"Nurses nurses nurses nurses who who who who have have have have been been been been working working working working through through through through the the the the pandemic pandemic pandemic pandemic are are are are being being being being honored honored honored honored during during during during national national national national nurses nurses nurses nurses week week week week at at at at Providence Providence Providence Providence Saint Saint Saint Saint Joseph Joseph Joseph Joseph hospital hospital hospital hospital in in in in orange orange orange orange California California California California Chaplin Chaplin Chaplin Chaplin and and and and Catholic Catholic Catholic Catholic priest priest priest priest Patrick Patrick Patrick Patrick on on on on con con con con quote quote quote quote anointed anointed anointed anointed nurses nurses nurses nurses hands hands hands hands with with with with oil oil oil oil blessing blessing blessing blessing of of of of the the the the hands hands hands hands is is is is a a a a reminder reminder reminder reminder that that that that everything everything everything everything we we we we do do do do is is is is about about about about helping helping helping helping others others others others IC IC IC IC you you you you nurse nurse nurse nurse Patsy Patsy Patsy Patsy Brandenburger Brandenburger Brandenburger Brandenburger said said said said she she she she felt felt felt felt so so so so fortunate fortunate fortunate fortunate to to to to have have have have her her her her hands hands hands hands blast blast blast blast more more more more than than than than two two two two years years years years after after after after the the the the start start start start of of of of the the the the pandemic pandemic pandemic pandemic how how how how sad sad sad that that that people people people passed passed passed but but but yet yet yet so so so happy happy happy that that that at at at least least least the the the ones ones ones that that that did did did survive survive survive did did did survive survive survive nurse nurse nurse Paul Paul Paul Kariuki Kariuki Kariuki says says says the the the gathering gathering gathering itself itself itself was was was a a a blessing blessing blessing we we we can can can actually actually actually take take take the the the mask mask mask off off off and and and be be be able able able to to to touch touch touch each each each other other other it's it's it's really really really a a a blessing blessing blessing we've we've we've come come come so so so five five five county county county Brandenburger Brandenburger Brandenburger says says says she's she's she's a a a lady lady lady to to to feel feel feel the the the worst worst worst days days days of of of the the the pandemic pandemic pandemic have have have passed passed passed I'm I'm I'm a a a Donahue Donahue Donahue

Chaplin Chaplin California National National National Nat Providence Providence Providen Catholic Catholic Catholic Cat Patrick Patrick Patrick Patric Patsy Patsy Patsy Patsy Brande Paul Paul Paul Kariuki Kariuki County County County Brandenburger Brandenburger Br Donahue Donahue Donahue
Breitbart's Alex Marlow on What’s Really Going on With the Economy

The Charlie Kirk Show

01:42 min | 2 weeks ago

Breitbart's Alex Marlow on What’s Really Going on With the Economy

"Alex, you're doing tremendous work over a breitbart on your own show, Breitbart News daily, and obviously as an author, I'm going to breitbart, I'm going to your home, your homepage right here. Top of the homepage, at breitbart dot com, it prints money, Democrats and aim to send 40 billion more to Ukraine, want 20 billion more for COVID funding during 40 year high inflation. Tell us what you know about this. What the heck is going on? Why does Ukraine need $40 billion more? And why do we need 20 billion more for COVID funding? I'm pretty sure the Democrats just like to spend money and then they'll worry about where it's going later. So I just think that whatever is the current thing that's going to get the money and COVID is here and anyone who thinks is not here is purely political and it's the those of us who have long been skeptical that we'd overreacted to COVID. Like, I don't know from the first week or two. We're all thrilled about it. But if you look at the current rate of people with coronavirus, it's much higher than it was a year ago, the death rates virtually the same. And I don't think we're getting tested nearly as much because what are you going to do? You're going to opt out of more work, do we want to shut the economy down more and every time you get a positive test, I work from home mostly, so it's not a big deal for me, but I know where my wife works at a hospital. You get a positive test. You're on the rack for a week. I mean, it's completely which is a huge burden on your colleagues. And it's still we have more cases. So of course, Democrats want to spend more on that. And they keep an eye in. I heard some rumors, the midterm variant is coming. This is the special variant that comes right before the midterms in order to make sure the Democrats get to have a much more lax voter

Breitbart News Covid Ukraine Breitbart Alex
Can You Imagine a Biden Presidency When the Wuhan Virus Hit the U.S.?

Mark Levin

01:54 min | 2 weeks ago

Can You Imagine a Biden Presidency When the Wuhan Virus Hit the U.S.?

"Can you imagine a Biden presidency when the Wuhan virus hit this country We had a need for tests and vaccines And masks hospital beds ventilators respirators Remember all that You think Biden and his regime could have managed any of that ladies and gentlemen Well let me be the first to remind you That was extremely complicated business Very very complicated With something modern America had never seen before Older America yes The Spanish fluence so forth But this was different in terms of modern America We had an entrenched bureaucracy that lied to us president Trump had effectively beat them over the head But vaccines and tests and masks at record pace hospital beds ventilators respirators more than we ever needed Under Donald Trump and his presidency We've never seen anything like it It was essentially a Manhattan Project To defeat what China had unleashed The rec casualties as the were casually is all over the world But Donald Trump had to fight this battle in spite of the bureaucracy at the CDC at the FDA the NIH Fauci and other egomaniacs going their own way cowboys if you will

Biden Wuhan America Donald Trump Manhattan China Fauci CDC NIH FDA
"the  hospital" Discussed on The Hospital Finance Podcast

The Hospital Finance Podcast

03:10 min | 1 year ago

"the hospital" Discussed on The Hospital Finance Podcast

"Absolutely i would. I would make three recommendations to them as patients are becoming more comfortable returning or regular diagnostic testing and procedures. And i i would. Point out is that providers should evaluate their technology We saw a lot of delays with Upgrading equipment during the pandemic. Because it's just it's not a priority so we're already upgrade cycles delayed and so it's important to get back on track or that could run. The risk of incurring higher maintenance costs to service older equipment as it. Nears the end of lights Next i would suggest providers should also assess the benefit of adding new technology to achieve the best standard of care in a better patient experience as they touch touched on earlier patients choices and it's important for providers to differentiate themselves as leaders with the best technology to diagnose and treat health conditions in addition tools like telehealth options and health records portals and the like can also help differentiate providers in the option. You know patient. Expectations are changing and providers should consider how they will respond Third as i mentioned earlier providers should consider the best way to acquire the technology that allows them to match revenue with expense. You know whether it's through a capital budget elise alone a rental agreement Pay per use type of structure or a subscription based payment option that bundles equipment and maintenance and supplies in into one convenient payments. You know they're. They're numerous options to budget for numerous ways to acquire medical technology and devices and the options can be overwhelming And i i would recommend that. They find an expert with healthcare domain expertise to help guide them through the evaluation process and make the best decision for their unique situation. Sound advice cam if someone wanted to get in touch with you or your organization. Where can they go. They can never websites at ti. A bank dot com and click on the commercial town. Excellent kim montgomery thank you so much for joining us today on the hospital. Finance podcast. ak- if you have a topic that you'd like us to discuss on the hospital finance podcast or if you'd like to be a guest drop us a line at update at bessler dot com. This concludes today's episode of the hospital. Finance podcast for show notes and additional resources to help you protect and enhance revenue at your hospital. Visit bessler dot com forward slash podcasts. The hospital finance podcast is a production of bessler smart about revenue tenacious about results..

kim montgomery today Third finance one convenient payments three podcast. ak bessler dot com . Finance bessler
"the  hospital" Discussed on The Hospital Finance Podcast

The Hospital Finance Podcast

02:17 min | 1 year ago

"the hospital" Discussed on The Hospital Finance Podcast

"And so i need to make sure that i can easily consume all that data in the way i want to see it so i think the biggest advice they have is that realize that you're looking for a platform solution. You wanna make sure that you can grow and expand into as many use cases as you can imagine and customer journey that we see across the board. Mike is that you know people get so much smarter about this Three six and nine months after they start seeing some data flow. The minute you start seeing real time did in your hospital. Your imagination goes wild. Oh my gosh. What if i could marry the number of cars coming into my parking lot to give people a heads up in the cafeteria that we're going to have to expand the amount of food that's available right now. What if i could look at the weather forecast and based on weather forecast staff out my my cleaning staff and my support staff for the rest of this week so beginning to look at all these different combinations of variable public and private data and and it's so fun to watch people get so excited but you can't even i can tell these stories and people can understand them but the minute you start to live and breathe it. The excitement grows. And you wanna make sure you've got a platform and a strategy that's going to let you cost effectively grow as your vision grows great advice ron if someone wanted to find out more about what you do at micra share work and they go so you can come to our website micro share dot echo again. That's www dot by crescer dot io. We've got some great use case studies there around hospitals. Some of the fun stuff. We're doing the uk we also have some hospitals all the us very large hospitals looking to pick up with our asset zoning and our indoor air quality and occupancy monitoring so you can get a lotta great detail on our website ron rock. Thanks for joining us today on. The hospital finance podcast. Thank you mike. Extra having been. It's been a pleasure if you have a topic that you'd like to discuss on the hospital finance podcast..

Mike mike hospital finance crescer dot io today this week uk Three six ron micra echo nine months dot
"the  hospital" Discussed on The Hospital Finance Podcast

The Hospital Finance Podcast

04:23 min | 1 year ago

"the hospital" Discussed on The Hospital Finance Podcast

"And what are the benefits of doing that. Great question at this point mike Those hospitals no or maybe they haven't thought about it but if they do they will know what their desired destination is if they have frozen their pension plan so they've said internally we are not going give any more benefits than what they wanna do with terminate the plan. We talked about this a little bit earlier. They wanna make it as if the plan never existed and on their books and internally it won't exist the goal their goal should set reasonable timeframe to get the that ish we're all about picking destinations and then or helping our clients pick destinations and then helping them get their kind of like taking vacation and then develop a workable plan to get there. So that means they need several strategies they need contribution strategy and need an investment strategy. They need an administration strategy and to pay for all of that and then some they need a strategy to eliminate all these unnecessary overhead costs associated with the plan. I know it might be evil. Word for a lot of people but consultants or actuaries should be able to help them do that. We certainly can if they're committed to getting out of the pension so to speak and it sounds like they are. If they've frozen their plan our goal is not going to be to try to get them back into the pension business to try to get them to do something that they've already committed to. Being out of our goal is to help them get to the destination that they've chosen to get to that destination faster and to get there at a lower total cost. And if we've done that if we do that for organizations they'll be happier they'll be more successful and frankly we will as well. So that's really the best advice i can give somebody who's committed to getting out of this is find somebody who can help people long that journey find somebody who will take that journey with you and get you on the path quickly efficiently and with as little pain as possible for him great insights on wanting wanted to find out more about you or your firm. Where can they go can learn about our firm mike at october three dot com with the word three spelled out or if they'd like to contact may directly they can try at j. lo at cobre three dot com. That's j. l. o. w. e. l. l. at oct three which is spelled out dot com. Or they can call me directly at seven seven zero two three five eight five six six and Before you close. I really wanted to thank you for giving me this opportunity. I hope this conversation is useful for you and for all of your followers and I look forward to hearing from some of them as great information. John interesting Interesting view into An aspect of hospital finances. We don't often get into so. Thank you very much for coming on the show today. And thank you if you have a topic that you'd like us to discuss on the hospital. Finance podcast were if you'd like to be a guest draw the line at update at bessler dot com. This concludes today's of the hospital. Finance podcast were show notes and additional resources to help you protect and enhance revenue at your hospital. Visit bessler dot com forward slash podcasts. The hospital finance podcast is a production of bessler smart about revenue to nations about results..

John today mike j. lo cobre three dot com oct three dot com october three bessler smart six two three bessler dot com seven seven zero three
"the  hospital" Discussed on The Hospital Finance Podcast

The Hospital Finance Podcast

08:38 min | 1 year ago

"the hospital" Discussed on The Hospital Finance Podcast

"Many hospitals have pension plans one variety or another however managing. Pensions can become a complex financial task. That many hospitals are not equipped to address internally joining me today. John lull a partner actuary at october three consulting and an expert in benefit and compensation issues with a particular focus on retirement benefits. John is here to help us understand more about how to deal with the costs and operation of hospital. Pensions john. welcome to the show. Thanks very much mike. I'm really happy to be here. I know this problem. We seems like an unusual topic for you and your listeners. But i think we're gonna make the connection for them quite well. Yes is sort of the other side of the house when it comes to ospital finance. It's not necessarily the revenue side. But just as important. So i'm really looking forward to the discussion. John let me start off. Many hospitals still have pension plans. And they come in two varieties as you explained it to me ongoing plans and frozen plans first. Let's talk about hospitals that have an ongoing plan as these are more rare these days What benefits would they get from continuing to maintain a plan. And how can they afford to run them. Mike what you say is absolutely true. They'll probably at this point only about two to three hundred remaining ongoing hospital pension plans left. That said those hospitals have them for the most part doing well financially and they're fully committed to continuing them if they were going to freeze them or completely get rid of them by now They would have done that already. So the ones that are left really have made a commitment to continue them. why. I think what we've learned. Is they see them. As a competitive advantage particularly from a human resources perspective it gives them somewhat of an edge in recruiting talent and in retaining talent and may simply view the cost of those plans as part of their total labor costs so some of them might choose to reduce labor costs in ways to compensate but a number of them have looked at this issue fairly carefully and they say that by decreasing unwanted turnover more than make up for the costs of the pensions and when they design them carefully. He's plans give them an opportunity to have what. A few of our clients are calling supercharged for a one ks. So let me explain that. With an example if for example you are recruiting a new head of. Let's say orthopedic surgery and you tell that person they can have something like their current 401k. But with the deferral women which right now is around twenty thousand dollars that might be five times as large or even ten times as large as it is. Currently that has a lot of value to them so put differently rather than being able to save twenty thousand dollars on a tax favored basis. They can save two hundred thousand dollars a year on a tax basis. That really does have a lot of value would add value to them that they just can't get in other places another issue that's bothered hostile. Finance cheats about pension plans is the cost volatility. But frankly that can be controlled and in fact by the twenty twenties it should be controlled through plan design. That's great so let's talk about the other scenario Which are plans to their frozen. What are some of the issues. Hospitals run into and plans remain frozen and could handle better. Mikey right Lot of frozen pensions out there to pick yearly at hospitals and there's a reason that they exist hostile more than perhaps at any other industry or maybe there are several reasons but the genesis. This goes back many many years. Certainly to the one thousand nine hundred seventy in one thousand nine hundred eighty s. There just aren't a lot of hospitals out there that are truly new organizations. They might be reformed organizations but at some point the actual ospital facility the hospital inc. Even if it's been reformed from a business standpoint probably in most cases goes back to the eighties the seventies or even earlier and what we in in the employee benefits business know about the nineteen seventies in one thousand nine hundred. Eighty s is virtually all employers gave their employees pensions. It was what you did back. Then it was an expectation the The sort of calculus between an employer and an employee in nineteen eighty-four example. Was you come to work for me and if you come when you're late twenties early thirties. You're going to make this year career. This is where you're going to spend your working lifetime and return for that if you're willing to spend your working lifetime with me. I'm going to give you this lifetime income. It's going to be related to the number of years she spent with me and how much i paid you but when you retire you are going to get this pension and it's going to pay you benefit for the rest of your life over time. The trend in the united states change. There are a lot of reasons for it that are for A different time in a different day to discuss but the fact is that organizations did begin to freeze these pensions So over time just as it happened in broad our industry more of these hospitals than not froze those plans the difference is and it seems to be very particular based on our research to hospitals. Once these plans were frozen hospitals. Treated them as if they were gone. In other words to use a kind of bad and use term from late night infomercials they went into set it and forget it mode. The problem that that causes is these frozen. Plans are not at all inexpensive to maintain and frankly the less attention that you do pay to them. More they cost. I guess that makes sense but that more so to speak is usually far more than the cost of having someone on staff to manage them. Once an organization does free a plan. It's goal should eat to terminate it in other words make it exists no more. So what the difference that we have here is if you have a plan that is frozen but not yet terminated. You are still required to administer. That plan contribute to that plan. Hey benefits from that plan and all those things cost money once you terminate it. You have given up all responsibility for the plan. You've taken all the benefits and either cash them out or sent them to insurance company and from your standpoint votes from a cash flow standpoint and from a financial accounting scam point. That plan is gone. It's almost like it never existed so that should be a hospital goal once. They've decided they're not going to provide these benefits anymore. Their goal should be to basically eliminate the existence of that plan eliminate the costs associated with the plan. Women ate what they probably view as the misery associated with a plan and to do that their plan should be two fold. It should be to get the to that destination faster and to get to their destination at less cost

John twenty thousand dollars Mike two hundred thousand dollars mike john eighties five times Mikey ten times today John lull one thousand three hundred twenty twenties around twenty thousand dollars united states two varieties nineteen seventies october three
"the  hospital" Discussed on The Hospital Finance Podcast

The Hospital Finance Podcast

08:00 min | 1 year ago

"the hospital" Discussed on The Hospital Finance Podcast

"Many hospitals have pension plans one variety or another however managing. Pensions can become a complex financial task. That many hospitals are not equipped to address internally joining me today. John lull a partner actuary at october three consulting and an expert in benefit and compensation issues with a particular focus on retirement benefits. John is here to help us understand more about how to deal with the costs and operation of hospital. Pensions john. welcome to the show. Thanks very much mike. I'm really happy to be here. I know this problem. We seems like an unusual topic for you and your listeners. But i think we're gonna make the connection for them quite well. Yes is sort of the other side of the house when it comes to ospital finance. It's not necessarily the revenue side. But just as important. So i'm really looking forward to the discussion. John let me start off. Many hospitals still have pension plans. And they come in two varieties as you explained it to me ongoing plans and frozen plans first. Let's talk about hospitals that have an ongoing plan as these are more rare these days What benefits would they get from continuing to maintain a plan. And how can they afford to run them. Mike what you say is absolutely true. They'll probably at this point only about two to three hundred remaining ongoing hospital pension plans left. That said those hospitals have them for the most part doing well financially and they're fully committed to continuing them if they were going to freeze them or completely get rid of them by now They would have done that already. So the ones that are left really have made a commitment to continue them. why. I think what we've learned. Is they see them. As a competitive advantage particularly from a human resources perspective it gives them somewhat of an edge in recruiting talent and in retaining talent and may simply view the cost of those plans as part of their total labor costs so some of them might choose to reduce labor costs in ways to compensate but a number of them have looked at this issue fairly carefully and they say that by decreasing unwanted turnover more than make up for the costs of the pensions and when they design them carefully. He's plans give them an opportunity to have what. A few of our clients are calling supercharged for a one ks. So let me explain that. With an example if for example you are recruiting a new head of. Let's say orthopedic surgery and you tell that person they can have something like their current 401k. But with the deferral women which right now is around twenty thousand dollars that might be five times as large or even ten times as large as it is. Currently that has a lot of value to them so put differently rather than being able to save twenty thousand dollars on a tax favored basis. They can save two hundred thousand dollars a year on a tax basis. That really does have a lot of value would add value to them that they just can't get in other places another issue that's bothered hostile. Finance cheats about pension plans is the cost volatility. But frankly that can be controlled and in fact by the twenty twenties it should be controlled through plan design. That's great so let's talk about the other scenario Which are plans to their frozen. What are some of the issues. Hospitals run into and plans remain frozen and could handle better. Mikey right Lot of frozen pensions out there to pick yearly at hospitals and there's a reason that they exist hostile more than perhaps at any other industry or maybe there are several reasons but the genesis. This goes back many many years. Certainly to the one thousand nine hundred seventy in one thousand nine hundred eighty s. There just aren't a lot of hospitals out there that are truly new organizations. They might be reformed organizations but at some point the actual ospital facility the hospital inc. Even if it's been reformed from a business standpoint probably in most cases goes back to the eighties the seventies or even earlier and what we in in the employee benefits business know about the nineteen seventies in one thousand nine hundred. Eighty s is virtually all employers gave their employees pensions. It was what you did back. Then it was an expectation the The sort of calculus between an employer and an employee in nineteen eighty-four example. Was you come to work for me and if you come when you're late twenties early thirties. You're going to make this year career. This is where you're going to spend your working lifetime and return for that if you're willing to spend your working lifetime with me. I'm going to give you this lifetime income. It's going to be related to the number of years she spent with me and how much i paid you but when you retire you are going to get this pension and it's going to pay you benefit for the rest of your life over time. The trend in the united states change. There are a lot of reasons for it that are for A different time in a different day to discuss but the fact is that organizations did begin to freeze these pensions So over time just as it happened in broad our industry more of these hospitals than not froze those plans the difference is and it seems to be very particular based on our research to hospitals. Once these plans were frozen hospitals. Treated them as if they were gone. In other words to use a kind of bad and use term from late night infomercials they went into set it and forget it mode. The problem that that causes is these frozen. Plans are not at all inexpensive to maintain and frankly the less attention that you do pay to them. More they cost. I guess that makes sense but that more so to speak is usually far more than the cost of having someone on staff to manage them. Once an organization does free a plan. It's goal should eat to terminate it in other words make it exists no more. So what the difference that we have here is if you have a plan that is frozen but not yet terminated. You are still required to administer. That plan contribute to that plan. Hey benefits from that plan and all those things cost money once you terminate it. You have given up all responsibility for the plan. You've taken all the benefits and either cash them out or sent them to insurance company and from your standpoint votes from a cash flow standpoint and from a financial accounting scam point. That plan is gone. It's almost.

John twenty thousand dollars Mike two hundred thousand dollars mike john eighties five times Mikey ten times today John lull one thousand three hundred twenty twenties around twenty thousand dollars united states two varieties nineteen seventies october three
"the  hospital" Discussed on The Hospital Finance Podcast

The Hospital Finance Podcast

03:30 min | 1 year ago

"the hospital" Discussed on The Hospital Finance Podcast

"Make sure that every single band-aid aspirin labrador Pre post Procedure is Is posted to the account. If this isn't done in the bill is is is not held up within the system What what could happen is what we refer to. As late charges late charges Could have a huge impact to the reimbursement in certain cases. Those late charges. It wouldn't matter because of an impatience assigned the dr g. so the calculation of that late charge Wouldn't really make an impact on your final reimbursement but there are times. That charge could impact The the dr assignment and calls a financial loss to the facility. The other thing is what is referred to dnfsb discharge not final bill if the claim is is is on hold for either a code or modifier That becomes an age trial balance in itself. That dfb can grow. The receivables could grow You risk timely filing so it's a whole Record keeping of this hidden receivable not hidden so much but a receivable that has to be managed by the various departments. H m You know lab pf s. You know patient. Financial services Admission anything that can be prevented in usually hospitals that are are on top that and run that type of an h. Trial balance coordinate Weekly meetings to discuss you know what is preventing that bill from dropping from the main system assuming we get the bill out the door when now posting the payments. So how should that work. So it's funny. You say that but there is a step in between so the dnfsb is one process of Claims being held up. And that's in the mainframe wants to build. Does drop from the mainframe. Then it goes into what's called a billing scrubber and the billing scrubber which is the mechanism or the system that bills out to the providers Could have its own On a pockets and it's much more. It's more related to the billing edits that the system mainframe does not have so there are there could be condition codes. That are needed. That wouldn't be so much in the mainframe would be in the billing scrubber and You know the patient financial services is mainly involved in that And they are they have to monitor that on a daily basis and Route those claims back to h am or the lab or the pharmacy for j. codes. So there's a lot of monitoring and then the bill goes out after all. That is done the bill out You know if. We're lucky medicaid medicare. They'll bill pay quickly. But then you have you know the the insurance plans that are much more in delay process..

dfb medicare
"the  hospital" Discussed on The Hospital Finance Podcast

The Hospital Finance Podcast

02:42 min | 1 year ago

"the hospital" Discussed on The Hospital Finance Podcast

"You know, we hear a lot of these sort of Trainwreck stories of people saying for months really when you look across this whole data set the data telling me You know across a bunch of patients on average, um, you know, covid-19 SAR like, you know have a have a sort of a a length of stay that's very similar to other, you know, complicated ammonia cases, you know in the money cases with with comorbidities. Well, that's that's at least some good news going forward here certainly interested in your thoughts on what you think. The implications are of of everything. We just talked about here. Yeah, I mean overall cost of gone down. So just if I look at the med and lab and Radiology spend we focus on those three things cuz we feel like Physicians control those, you know think it's gone from a $3,800 down in nineteen Thirty per admission. So, you know overall it appears that hospitals are getting more efficient at treating covid-19 is that you know cost overall are coming down like the stay overall is coming down and that's to you know, they're great credit of just learning from how to how to better care for these patients, but we haven't figured it out and then we see that and kind of the experimentation like these also drugs and some others, you know, that there's still some fine-tuning going on about about the exhaust way to to you know, to clinically treat these patients. Um, you know, the most worrisome Trends in this data are that, you know, the percentage of test positive are going up and the percentage of wage Of patients who are positive admitted are going up. And so we hope that that doesn't you know that Trend doesn't continue and that you know that we can see hopefully that will reverse and we'll have less pressure on a systems with fewer code patients, but we'll have to see Great insights GT. If someone wanted to find out more about illumicare, where can they go? A lot of the data. So we we actually put a lot of this data on our website. You can actually interact with it and drill into each d r g and each drug and see the utilization. I put all the data from the most recent. Sisters could interact with it if they like it's available on our website at illumicare, which is illumicare page is where you would find all this data. GT Laborde, thanks so much for coming back to the podcast today and sharing with us this very interesting analysis that you've done at your firm around covet..

GT Laborde lab and Radiology illumicare
"the  hospital" Discussed on The Hospital Finance Podcast

The Hospital Finance Podcast

05:58 min | 1 year ago

"the hospital" Discussed on The Hospital Finance Podcast

"Enjoy the podcast, I invite you to head up to Apple podcasts rate as five stars and leave a positive review. This will be the listeners in the healthcare space find the show. And with that we'll move on to Today's Show illumicare recently released an analysis that looked at the changing costs of treating coping with agents in hospitals to share the findings of this analysis. I'm joined by a GT Laborde CEO of illumicare GT. Welcome back to the show. Michael thank you. Good to be back. GT watch tell us a little bit about illumicare for those in our audience who may not be familiar with your firm. Sure, limit care is in the business of helping Health Systems and drive value-based care. We we basically ascribe we use hospitals own medication daily medication Costco Wholesale acquisition cost as well as lab and Radiology costs from their own cost accounting system to ascribe a cost to every clinical order to make those costs kind of transparent to provide birth in real time when they're ordering things to sort of profile the behavior of different Physicians of the same type so that we can see variation and the way they behave and off aspects of that variation that drives unnecessary a realization and unnecessary cost and and then have sort of a point-of-care Interventional tool. We call the smart ribbon that page position when they've sort of misbehaved in that way if you will with with kind of clinical financial decision support, if you will at point of care, so doing all that stuff gives us access to real-time data log from a number of customers and allows us sort of a macro view when you know, they're you know, massive new macro Trends and Healthcare kind of like code that has been so let's dive into the analysis that you did hear. What exactly were you looking at in this analysis? We looked at health systems that were geographically dispersed across the country, you know together. They represented, you know, several million encounters with those systems of those there were something like three hundred and fifty thousand or so Covetous that were done. And so we zeroed in on you know, who were patients that were testing positive with covid-19 headed interaction or encounter with the health system on either an inpatient ambulatory or Edie what percentage of those were were in patients? So what. Got admitted with the RGB so they fall into what were their links to stay and what were the cost and drugs used to treat Etc. And we looked at these over three different time slices. Basically, we we started up with kind of what I'll call the early days March 12th to May 28th. We then kind of took another look in the sort of a middle. Between March 12th and July 10th. So we expand. Yep. From from May to July in that analysis and most recently, you know, we looked from August 4th until October 2nd, which I'll you know, I'll refer to as kind of the most latest. Cuz it was fascinating to see how some of these things were changing over time. That's great. And we're going to dive into a lot of the details. But but what were some of the headlines GT what were the key findings in the report? Well from a high level, you know, some of the things that jumped out of me are the percentage of tests that were positive was increasing for these Health Systems, the perfect age of people who work over positive that were in patients were increasing length of stay with decreasing cost was going down pretty dramatically because of a shifting utilization of some of the.

GT Laborde Apple Costco Michael CEO
"the  hospital" Discussed on The Hospital Finance Podcast

The Hospital Finance Podcast

01:53 min | 2 years ago

"the hospital" Discussed on The Hospital Finance Podcast

"<Silence> them. <Speech_Female> And, so <Speech_Female> one of the things you want <Speech_Telephony_Female> to do is <Speech_Telephony_Female> have a transition <Speech_Telephony_Male> plan for some of <Speech_Telephony_Female> those things <Speech_Telephony_Male> What should <Speech_Telephony_Male> they be allowed to keep <Speech_Male> what things will <Speech_Telephony_Female> line with the other organization? <Speech_Telephony_Female> <Speech_Telephony_Female> How do those line <Speech_Telephony_Female> if you're if you're taking <Speech_Telephony_Female> away a <Speech_Telephony_Female> benefit? What <Speech_Telephony_Female> benefit are you giving <Speech_Telephony_Female> in return? <Speech_Telephony_Female> You know really <Speech_Telephony_Female> and then the main <Speech_Telephony_Female> thing is. Don't <Speech_Telephony_Male> just come in and tell <Speech_Telephony_Male> them. This is <Speech_Telephony_Male> your culture. <Speech_Telephony_Female> You WanNa come in and <Speech_Telephony_Female> show them so <Speech_Telephony_Female> if you come in and <Speech_Telephony_Female> say you have this <Speech_Telephony_Female> open communication <Speech_Telephony_Female> culture and <Speech_Telephony_Female> you're full of energy. <Speech_Telephony_Female> You guys are going to have fun, <Speech_Telephony_Female> and you believe in <Speech_Telephony_Female> empowering <Speech_Telephony_Female> all the employees <Speech_Telephony_Female> you have to. To come in <Speech_Telephony_Female> and do that. You <Speech_Telephony_Female> can't just come in <Speech_Telephony_Female> and say it. <Speech_Telephony_Female> You have to actually <Speech_Telephony_Female> demonstrate it <Speech_Telephony_Female> in your actions <Speech_Telephony_Female> to and <Speech_Male> give consideration <Speech_Telephony_Male> to <Speech_Telephony_Female> some of <Speech_Telephony_Female> the celebrations <Speech_Music_Female> that might be unique <Speech_Telephony_Male> to their community <Speech_Telephony_Male> from communities <Speech_Telephony_Female> have <Speech_Telephony_Female> a local celebration. <Speech_Telephony_Female> Rather <Speech_Female> it's a big you know <Speech_Telephony_Female> county, fair or <Speech_Female> a big. You know yes, <Speech_Telephony_Male> afraid or whatever <Speech_Telephony_Male> it is, that might be going <Speech_Telephony_Male> on. That might <Speech_Telephony_Female> impact that office <Speech_Telephony_Female> differently <Speech_Telephony_Female> than one of your offices <Speech_Telephony_Female> in another state <Speech_Telephony_Female> or another location, <Speech_Telephony_Male> and so <Speech_Telephony_Male> while you WanNa standardize <Speech_Telephony_Female> as much as possible. <Speech_Telephony_Female> You also <Speech_Telephony_Female> want to recognize <Speech_Telephony_Male> kind of some <Speech_Telephony_Male> of those big regional <Speech_Male> things that could be <Speech_Male> really important <Silence> to your employees. <Silence> <SpeakerChange> <Silence> <Speech_Male> Great insights, <Speech_Male> thank you for stopping <Speech_Male> by the show and sharing <Speech_Male> them with us today <Silence> Jennifer. <Speech_Female> Now, no <Silence> problem glad <SpeakerChange> to be here. <Speech_Male> <Speech_Male> If you have a topic <Speech_Male> that you'd like us to discuss <Speech_Male> on the hospital finance <Speech_Male> podcast <Speech_Male> were if you'd like to be a <Speech_Male> guest, drop <Speech_Male> us a line at update <Speech_Male> at <SpeakerChange> bessler DOT <Speech_Music_Male> <Advertisement> com. <Speech_Music_Female> <Advertisement> <Speech_Music_Female> <Advertisement> This concludes today's <Speech_Music_Female> <Advertisement> episode of <Speech_Music_Female> <Advertisement> the hospital. Finance <Speech_Music_Female> <Advertisement> podcast for show notes and <Speech_Music_Female> <Advertisement> additional resources <Speech_Music_Female> <Advertisement> to help you <Speech_Music_Female> <Advertisement> protect and enhance <Speech_Music_Female> <Advertisement> revenue at your <Speech_Music_Female> <Advertisement> hospital visit <Speech_Music_Female> <Advertisement> Bessler dot <Speech_Music_Female> <Advertisement> com forward slash <Speech_Music_Female> <Advertisement> podcasts. <Speech_Music_Female> The hospital <SpeakerChange> finance <Speech_Music_Female> podcast <Speech_Music_Female> is a production of bessler <Speech_Music_Female> smart <Speech_Music_Female> about revenue to nations about results.

"the  hospital" Discussed on The Hospital Finance Podcast

The Hospital Finance Podcast

05:34 min | 2 years ago

"the hospital" Discussed on The Hospital Finance Podcast

"Whether, they'd be hospital owned versus physician owned. And the quality measures that we examined included readmissions within thirty days of discharge for patients that had been hospitalized, and we had multiple measures of appropriate care for diabetic patients, and then we also looked at screening mammographies for women age fifty to sixty four. Excellent and and think as we talked about in the introduction here. What's unique about this study is? Not only looks at the spending side of the equation, but also the quality of care as well. Right, so there has been a lot of literature looking quality, and the results are kind of all over the place. There hasn't been a consistent. kind of showing that. Any type integration results and better quality of care. which could be surprising when you're looking thinking about what kind of economic theory behind it, you would expect to see this, but we're not. Samara, watch you go ahead and and talk to us about the results of your research. So we found that the patients with this insurance coverage under PPO's have spending that is five point eight percentage points higher when they're treated by. Owned doctors rather than physician owned practices. And we took a step forward. To look you know at adjusted spending based on median prices and that differential. Only decreased by one percentage point. which suggest that most of the higher observe spending for hospital owned practices versus the physician owned is actually resulting from greater service utilization rather than from higher prices. And we were actually able to back up that assertion a bit by examining the claims per patients, so for four out of five common diagnostic test which we examined. These are X RAYS MR is chemistry lab tests and C. T. Scans. We found that the claims per patient were equal to or higher in hospital versus. On practices. We also found. There was no consistent difference in quality of care for hospital owned versus position owned based on the measures that we examined. therefore our overall conclusion is that tighter integration physicians hospitals appears to be contributing to the increasing cost of health care with no evidence of better quality. I find that surprising, did you? Did you find that surprising as well? So although we initially hypothesized that we're going to have better coordination and lower cost and this kind of. Economic Theory. Suggested to us we weren't completely shocked. Bar results, and that's because this paper is part like one part of a multi year study. We've been working on it and integration, and since we I wrote our grant proposal outlined research plan several years ago. A lot of other studies on vertical integration have been published, and while those data, sources and methods have varied a bit They suggest similarly that integration a position hospitals resulting in higher spending. So as we look out at the future of healthcare, it's it's very unlikely that we're going to go back to a model where there are many. Independent physician practices. It's more more more likely that they're going to be integrated in some way. So, what do you think this means for healthcare providers at large.

Economic Theory Samara
"the  hospital" Discussed on The Hospital Finance Podcast

The Hospital Finance Podcast

03:05 min | 2 years ago

"the hospital" Discussed on The Hospital Finance Podcast

"The results may surprise you joining me today to talk about this research is Mara Short, who is the associate director of the Center for Health and biosciences at Rice? University's Baker Institute for Public Policy Mara Welcome back to the show. Thank you very much. Wants to start out by telling us a little bit about your initial hypothesis when you were going into this study. Shooting When we first launched this study, we were hypothesizing that tighter integration. A physician in hospitals was going to improve the care coordination between them, and would you know for example? Create less duplicate testing and things of that nature, which would in turn lower the cost of care, but you know we're going to discuss. That really didn't play out when we looked at the data more closely. Yeah, it's. It's an interesting hypothesis particularly. All of the all of the consolidation out there among. Physician practices and sort of being scooped up by by by hospitals at large. So you would, you would expect that efficiency but I'm I'm looking forward to hearing exactly what you found out here. So why don't you tell us a little bit about The data that you looked at and and your methods for conducting the study. Yes, we looked at preferred provider. Organizations somewhat better known as PPO's, and we used insurance claims from Blue Cross blue, shield of Texas for two thousand, fourteen through two thousand sixteen, and we focused on Texas's four largest metropolitan areas. Those Are Dallas Houston San Antonio and Austin and I should mention here that the population those areas total eighteen point nine million in two, seven, two, thousand, seventeen, which is greater than the population of forty six of the United States also we. Being able to use blue cross, Blue Shield, a have a forty eight percent market share here, making them the largest large group insurance in the state. So this is a substantial number of people. We were able to get through these insurance claims. And WE I. Excuse me use those claims to. Attribute patients who had a primary care physician to the PCP that they saw most frequently. And we had the advantage by using the blue cross blue. Shield data that. A lot of other things that have come out on this topic didn't have and we were able to use the actual contracts that were negotiated between awesome physicians to determine which of these physicians were working in a physician practice, which ones were in a hospital owned practice. Which means that we didn't have to infer through survey data. What they're kind of contract setup was within sure. We. Then used that data to compare annual health, spending and quality of care for patients treated by these doctors..

Blue Cross Mara Short Texas Baker Institute for Public associate director Rice Center for Health Dallas Houston San Antonio United States Austin
"the  hospital" Discussed on The Hospital Finance Podcast

The Hospital Finance Podcast

04:58 min | 2 years ago

"the hospital" Discussed on The Hospital Finance Podcast

"Do not receive preventive care services intent present at hospitals with multiple medical conditions and complications. In most states medicaid also has a dish payment and qualification. But let's focus on the Medicaid. Dish ISSUES MEDICARE DECISIONS TODAY. Absolutely so watch. Tell us how a hospital qualifies for the additional payments. Well there are two ways one is referred to as the primary method and the other is the alternate method. The primary method is the most common way hospitals qualify as this hospitals. Let's drill into that. Once you describe the primary method for us sure this involves the the disproportionate payment percentage or DP. Which is the sum of a hospitals supplemental security income percentage known as the SSI percentage and the hospitals Medicaid percentage the SSI percentage represents the percentage establish by dividing impatient days attributable to patients entitled to both Medicare Part A. and SSI by the total Medicare dates the Medicaid percentage represents the percentage established by dividing Medicaid non Medicare days by total patient dates. The DP must be at or above fifteen percent for the hospital to qualify for the additional payments. And you mentioned that there's a second method you describe that one for us. Yes that's the The alternate method. This is less commonly used and only applies to urban area hospital with at least one hundred beds that can demonstrate that more than thirty percent of their total net inpatient care revenues come from state and local government sources for indigent care other than Medicare or Medicaid. Jimmy hospitals across the country vary in size and status are there any variations in the payments between the various hospital classifications. Yes whether the hospital is urban or rural and whether they have one hundred or more bids or less than one hundred beds determines the formula utilized to calculate the payment in general whether the DP is between fifteen percent and twenty point two percent or greater than twenty point two percent determines the applicable formula. The result of this calculation establishes the dish adjustment percentage for urban hospitals with less than one hundred beds the dish adjustment percentage is capped at twelve percent. The saint cap applies to rural hospitals with less than five hundred beds now hospitals with with Rural Referral Center Status Not subjected to the twelve percent. Cap Hospitals. Receive the dish. Payments Hospitals are paid on an interim basis throughout the fiscal year via an add on payment to their Dr payments on a claim by claim basis. The payments are reconciled. A after the close of the fiscal year when the hospitals filed their Medicare cost reports inclusive of data used to calculate the DP and resulting dish. Adjustment percentage please note though that the resulting dish payment amounts are then applied to twenty five percent factor as a result of provisions of the affordable. Care Act in other words that this payment will be one fourth would it would have been prior to the implementation of the affordable care. Jimmy what can hospitals do to improve their dish payments? Well the most common way. It's for hospitals to improve their medicaid percentage by increasing the numerator of the calculation the numerator or Medicaid days is defined as patient days for those eligible for medical assistance under the state plan approved under cattle nineteen or Medicaid. Verifying your internal compilation of days against that of the states usually allows the hospitals to identify additional Medicaid eligible days. In addition hospitals quite often failed to capture medicaid eligible days from states outside of the one. The hospital resides another way. That hospitals can improve on their medicaid eligible. Days is to review all patients that are self pay or qualified for charity. Care that came back from the state is not Medicaid eligible. There is usually a high relationship between these patient. Types of Medicaid eligibility these patient records should be reviewed and verified to ensure that the data submits in the state was accurate and if the judgments are found and if you are.

urban area hospital Medicaid Medicare Jimmy Rural Referral Center
"the  hospital" Discussed on The Hospital Finance Podcast

The Hospital Finance Podcast

04:35 min | 2 years ago

"the hospital" Discussed on The Hospital Finance Podcast

"That's great advice Nicole. Do you have any other recommendations for providers as they're navigating through this this time yes I do. There are a number of providers right now that are asking for exceptions and and I can give examples so for example in the hospital. Setting there are hospitals that are asking for Waivers for the inpatient admission standards or the two day admissions or the moon rules. All those kind of things are asking for exceptions. And a lot of the hospital of the providers or jennings the exceptions. They need to allow people to have to stay longer in their hospital because they have nowhere to discharge them. They can't go back to their nursing. Homes where the corona buyers or may not be and so. Because they're getting all these exceptions. You know five years from now when you're undergoing an audit. No one is going to remember that you had this exception that this particular consumer can stay in my hospital for two extra days or five days and five years from now you may get audited and say well you got to recoup all this money because you let them stay in for too long of a time when in reality you were given an exception right all the exceptions down. Keep one place people computer program. Keep a hard copy. Whatever you WANNA do a notebook if you WANNA get down to not having any technology involved but keep track of all these exceptions that you get as little as they may be because if you're getting an exception for one person and that one person can stay longer than the two day allowance for the outpatient stays and you multiply that by okay. Well now you've got to take that exception and extrapolated against you know two hundred people over the course of a year. That's a lot of money we're talking about so you need to make sure you keep track of all the exceptions no matter how small and keep track of them somewhere. That you're not GONNA lose them. If your attrition rate is high with executives. You need to make sure that the next people in line have that had that knowledge so that in future audits you can explain that. You did not abide by the regulations. For good reason you had an exception. But no one's keeping track of all these exception as such great advice. Nicole and I know you've got a great blog Of your of your own that that people can follow if people wanted to read more about What's going on here on that blog or get in touch with you. Can they do that well? You're more than welcome to go onto my blog. Which is Medicare and Medicaid Wall? It is at Medicaid Law and NC DOT COM. You can also contact me at any time on the Potomac law group. I help providers across the country and not only in North Carolina but in thirty three states. And so I. I'm pretty well versed on all the exceptions that I'm seeing. It's really fast paced right now. It's scary. It's surreal but it was really important to make sure that everything is written down because in the future I mean that old saying that old adage for nurses if it's not written it doesn't exist is really going to matter in the in the future years Nicole. Thanks FOR ADDING SOME CLARITY AROUND THIS VERY COMPLEX ISSUE. We appreciate you coming back to the show today. Absolutely thank you cova. Nineteen better known as Corona virus has spread throughout the world symptoms of this respiratory disease may include fever cough and shortness of breath. These symptoms may show up to to fourteen days after exposure. If you are experiencing these symptoms and have come into contact or are in an area with an ongoing outbreak. Please call a hotline and or consult with a physician clean and disinfect surfaces. For more information please visit CDC dot Gov forward slash coveted nineteen. Thank you. This concludes today's episode of the hospital. Finance podcast show notes and additional resources to help you protect and enhance revenue at your hospital. Visit Bessler dot com forward slash podcasts. The hospital finance podcast is a production of bessler smart about revenue to nations about results..

Nicole CDC Medicaid Law North Carolina Medicare fever NC
"the  hospital" Discussed on The Hospital Finance Podcast

The Hospital Finance Podcast

04:54 min | 2 years ago

"the hospital" Discussed on The Hospital Finance Podcast

"Michael Pass not say this is my pass and welcome back to the award winning finance podcast as a result of the covert nineteen crisis. The government suspended most auditing activities for providers to sort out what that means for hospitals. I'm joined by Nicole. Emmanuel Nicole is an attorney at Tomac Law Group in Raleigh North Carolina where she concentrates on Medicare and Medicaid Regulatory Compliance Litigation. Nicole welcome to the show. Thank you and thank you for having me Nicole. The government announced that it's suspending survey activities. Practically what does that mean for providers? Well so right now because of the corona virus CMS has decided to forego audits that are unrelated to the corona virus so effective actually effective April. Third Twenty twenty. The only audits that will be conducted will be those ought it that are Germane to all immediate jeopardy complaint? You know those kind of cases that represented situation in which entity entity's non compliance has placed a health and safety of recipient in. Its care at risk for serious injuries. So we're talking about serious potential serious injury or serious harm Another audit that's GonNa Continue. Would BE COMPLAINTS. Alleging infection control concerns because that would obviously be impacted by the current virus. Any sort of statutorily required recertification surveys are going to be conducted. I would assume that they're going to be conducted telephonically. They're not going to be going on site and revisit necessary to resolve current enforcement actions. That's important because when this corona virus all came about there were you know. Hundreds and hundreds and hundreds perhaps thousands upon thousands of healthcare providers already in the middle of teepee audits Iraq on it or Mac on it and they had already had onsite visit. They'd already had maybe perhaps a a lower accuracy rating and they're going to be stuck in this cycle of being stuck in the audit until they can get a survey because would this corona virus. They the penalties that they're enduring whether it's a suspension of admission or whether it's a monetary penalty no daily. These penalties are being administered even if they cannot have a secondary or a revisit of the audit to get them off of the penalty that are currently on. So it's really important that people who are in the middle of August when all this came down to get them off of the audit cycle so they can go back to providing care so essentially there are a number of activities that are suspended but it's important for providers to know that there there are a subset of activities that that will continue even during this period. Correct they're all going to be activities that are of the utmost importance the lower the items that take lower priority are going to be pushed down okay. And you mentioned the T. p. e. audits a second ago. So that's the targeted pro education. Are they going to continue during this time period? As far as you know we'll also as far as I know. They are not going to continue as they're not going to start new teepee on it now. The question then becomes well. I received a document request. You know a month ago for T. audit do I need to comply now? And the the conservative safe. Cancer is to go ahead and keep complying with these Document requests although The deadlines for these document requests. Those are going to be extended. I'm sure you'll be able to get extensions for like trying to comply with those and in reality If you contact the people who are conducting the audit you may find that the entire audit in general is put on pause. But don't assume it's put on pause try to make sure you comply unless you find out it's it's on pause and if you get something over the email or over a phone that says that your e e audit is paused currently follow up with an email and get it in writing because future audits. They're not going to remember that. Your particular audit.

Emmanuel Nicole government Twenty twenty Michael Pass Raleigh North Carolina Tomac Law Group attorney Medicare Iraq Cancer Mac
"the  hospital" Discussed on The Hospital Finance Podcast

The Hospital Finance Podcast

02:47 min | 2 years ago

"the hospital" Discussed on The Hospital Finance Podcast

"Be incorporated for example low cost or low charge providers may choose to display Market information quality information maybe valuable and helping consumers make choices for those items and services. Research data is available and it may be beneficial to show the typical low average and high payments for each pair those services with complex multi provisional contract terms as I mentioned earlier in addition to the rates such as per dame's Or that the not directly aligned with specific items or Services Fred. Your firm. Panaceas offering some new services to help hospitals meet price transparency requirements. Can you briefly describe what you're doing there? Yeah I'd be happy to do that. Mike Panacea has worked Over the last two months to develop a software program which we now call panacea shop disaggregation algorithm and reports that. And what it does. It provides hospitals and health systems with a useful analysis reports to help them choose and finalize their three hundred or more shop items and services list. A health systems only needs to provide us with their claims and payment data Mike for Twelve months and our algorithm and the tables that we've built in the in the algorithm will begin with one hundred percent of the patient population and it'll disaggregated the population. Too many useful buckets making it easy to make the final selection while there are many buckets and useful filters and the report Mike. It's important to mention that at the top of the disaggregation hierarchy. We remove all non urgent items and services and we take into account a myriad of criteria such as see the ten codes place of service revenue codes and much more we also tag and flag those items having the highest utilization of private outpatient usage as a single build item and a multiple build item. As part of this process. We also offer the option of building charging payment profiles for the defined shop about services showing the low average and high charges and payments by payer but also the typical detailed services included for the inpatient outpatient surgical cases. And as I mentioned earlier. We actually believe that this information is actually more useful to the consumer then that which is specifically required by cms where we have complex multi provisional terms For certain payers for certain services. You know we've also enhanced are popular hospitals airbase pricing system to include new methodologies and concepts surrounding lowering the charges define shop items and services..

"the  hospital" Discussed on The Hospital Finance Podcast

The Hospital Finance Podcast

02:08 min | 2 years ago

"the hospital" Discussed on The Hospital Finance Podcast

"Given the ten month window between now and implementation hospitals. Not Having such a system today Might Find More economical and realistic and expeditious to actually focus on the consumer display. That I just mentioned under either scenario. It's still going to be important for providers to develop their shopping services list and developed their machine readable file. What are some of the next step you recommend for hospital? So they can ensure compliance by next January. We'll Mike one of the things we're recommending is that providers utilize this year wisely. We still have ten months before the implementation date and What we're advising they do at that time. Initially is to take twelve months of claims and payment data and to develop for each hospital in their health system. Shopping list again recommending. That is the first step in developing this list. We really feel. It's not only important to consider vitamin revenue and the non urgent status. Stms CMS requires. But also as I mentioned earlier to consider the related procedures and most importantly select those that might be the easiest to actually display Negotiated rates across all payers once completed. We said Yes that. The hospitals incorporate this list into their strategic or charge master pricing process. So that special pricing consideration is given to these consumer focused items services so in other words once we go through the process for each of the hospitals and our health system developing that shopping fullest extent. That many of those items will be in the charge. Master it would make sense to Take a close. Look at the competitiveness and the defensibility of those prices and the charge master. We've got more than enough time to do that. Between now and January one of twenty twenty one and then finally Mike. We recommend that providers develop their consumer display and the machine readable file. However in this process we urgently go beyond meeting the requirements instead. Focus on what other value could.

Mike
"the  hospital" Discussed on The Hospital Finance Podcast

The Hospital Finance Podcast

06:29 min | 2 years ago

"the hospital" Discussed on The Hospital Finance Podcast

"We were talking before the show and you had a rather rather extensive presentation that you gave earlier this year looking at a variety of federal issues so We're going to go through just a few of them here on the show today. 'cause I know we could be on for for quite a while if we did the mall But Watch start out by giving US yeah. Let's once you start off by giving us just a brief overview of the two thousand twenty congressional agenda and what they're looking at related to healthcare got it so the congressional agenda is going to be dictated by two days this year by a May twenty second and by November second November second of courses the presidential election. Everything's geared towards that but may twenty second is the less known date at the end of the last congress The Congress thought they were pretty close on two big issues on finishing legislation on surprise billing and on a drug pricing and so they had a package of must pass healthcare extenders. Things like Medicaid dish cuts funding for community health centers and a number of other dogs and cats and so rather than simply date those things with the rest of the federal budget which is through October. I decided to put those things on on a time. Line of May Twenty. Second which provides the mid-year must pass bill And as if you ever listen to Speaker Pelosi you'll You've you've learned that getting something to the. Us Senate is very very hard and frustrating but this package has to get through the US Senate by May Twenty second and so. That's a different date than usually happens. And so because those must pass things gotta get done by. May Twenty second other things are going to get onto that train. And the Congress want leaves Congress WanNa get a surprise billing and drug pricing into that or one or the other of those bald but they may only be able to get one and then they'll be They'll be what. I usually call ornaments on Christmas tree because this usually happens around Christmas time But it's near Memorial Day so it's probably like crap to put in the back of your car for the family vacation but other legislative Things get tacked onto a must pass bill and so there. There could be other things in the healthcare space get added on to it and there could be If they're pay for issues if they've got a raise money let's say they want to do something surprise building but it will cost money. Then they've got saves the money somewhere else so cuts could pop up in other areas And so that's the general agenda things are targeted through twenty second And so with the President's budget coming out at the dominoes are going to start to fall and we're GONNA have a very busy next four months. Great let's let's dive into some issues. That are specific to hospitals. That are that are out there much. Tell us a little bit about what might be coming. Related to Medicaid dish so Medicaid dish that they delayed the cuts to Medicaid. District May twenty second. So you may recall Medicaid dish It was kind of tied. In the to Medicaid Expansion Medicaid didn't end up expanding and so we have gone to the congressman said. Hey since Medicaid didn't expand everywhere in the way that you planned these discounts like. It's unfair to keep them going. Medicaid dishes get cut by four billion dollars in twenty twenty and then by eight billion dollars a year in twenty twenty one to twenty twenty five. So they We're very glad that delaying of the Medicaid dish cut has gotten extenders package where they've they realized they have to pass it. The issue is They can I mean it expires on. May Twenty seconds so technically on May twenty third. The full Medicaid dish supposed to go into effect. No member of Congress wants to go to their local hospital. They're know they're dish hospital and say. Hey you treat the poorest of the poor and thickest thick and we're GonNa cut you by hundreds of you know of millions of dollars And so we think that Congress wants to do the right thing politically and could they do have a heart And so the challenge becomes. Where does the money come from and Making sure that that stays with that extenders package of must pass that. It doesn't fall out of the package okay. Great and what do you think might change around site neutral payments? That's been an issue for a little while now as well yes I neutral. It's been an interesting thing because It's neutral is pay for or in other words. It's something that cuts spending and so congress can spend other things and members of Congress like spending things on things they like They're like a kid in the candy store so Site neutral is something that you can also turn a dial on it So you can start with a small site neutral amount and then you can ramp it up. and neutral for listeners are aware. There's there's the concept that you pay the same amount for a service regardless of what setting it's in so for an evaluation of management or visit if you pay thirty dollars for that in a doctor's office it should be paid thirty dollars in the hostile. Our opposition to that is is because Hospitals all the it all the studies show hospitals. See The sickest of the sick. We see a sticker population a poor population. We see an older. Our patients are more likely new. Medicaid or Medicaid Medicare dual eligible so And we also see patients twenty four hours a day And so like we see a more expensive patient. And that's why Medicare in its wisdom over. The years is that we will pay a higher amount at hospitals and physicians offices and part of that's also because doctors offices literally having a third of the cost of RS and everything They laughed lifespan. From nine to five we have be twenty four hours a day. We have to have surgical suites and a hand specialist on call and ambulance services all the things that make a hospital a hospital and so say neutral cuts are challenging for us like almost an existential level. 'cause they're saying Okay Hospital. We want to pay you like physician's office and we're not decisions office. If if you pay hospitals like physician's office you'll get you'll get a physician's office and you won't get all the things that we've decided we want to have in this country and so that's the problem with Satan neutral generally What could change? They can always dial things up on site neutral..

Congress Medicaid Expansion Medicaid Medicaid Congress WanNa US Senate Us Pelosi President Medicare congressman