A community of 30,000 US Transcriptionist serving Medical Transcription Industry
More emphasis being placed on multiple hospital admits?
Posted: Jun 13, 2014
I'm an acute care MT. I have been taking notice lately of the emphasis on how many hospitalizations a patient has had within the prior 12 months from the most recent visit. All for seniors (over 60) and seemingly with an effort, urge or suggestion to transition to DNR/DNI status. Are the death panels auditing these hospitals? Is this what was being talked about regarding the ACA limiting how many times a hospital can admit a patient before being penalized? Don't get me wrong, my family has benefited from the ACA, but is this a sign of the times? Kind of scary being that I'm just around the corner from these folks.
;
Death Panels - sm
[ In Reply To ..]Term that Sarah Palin invented and people believed. Lie of the Year in 2009.
The truth: "Medicare would pay for doctors' appointments for patients to discuss living wills, health care directives and other end-of-life issues. The appointments were OPTIONAL, and the AARP supported the measure."
Politicians against health care reform, or any issue for that matter, have no problem lying to the public and playing on people's emotions in order to keep them uninformed and afraid.
The truth on Death Panels from another article - Truthhurts
[ In Reply To ..]I wouldn't say the words "death Panels" are lies because of an article published last year (8/8/13). which is MUCH, MUCH more recent than your link. In fact, Obamacare wasn't even law when Politifact's article was written.
I'm only doing excerpts from this article but you can read the whole thing if you so desire by the provided link.
ObamaCare’s cost-cutting board — memorably called a “death panel” by Sarah Palin — is facing growing opposition from Democrats who say it will harm people on Medicare.
The cost-cutting board has been dogged with controversy over the last three years.
Major healthcare interests like the American Medical Association, the American Hospital Association and the pharmaceutical lobby have supported IPAB repeal, saying the panel would cut providers' pay arbitrarily.
“Though I was called a liar for calling it like it is, many of these accusers finally saw that ObamaCare did in fact create a panel of faceless bureaucrats who have the power to make life and death decisions about healthcare funding,” Palin wrote on Facebook.
This claim experienced a revival on the right after Dean published his op-ed, which argued that the board would ultimately ration care for Medicare patients.
“The IPAB will be able to stop certain treatments its members do not favor by simply setting rates to levels where no doctor or hospital will perform them,” Dean wrote in The Wall Street Journal.
The Affordable Care Act prevents the IPAB from making recommendations that would directly ration care. But critics say reducing provider reimbursements would have the same result by making it difficult for healthcare professionals to make money in Medicare.
Read more: http://thehill.com/policy/healthcare/316045-obamacare-cost-cutting-board-faces-growing-opposition-from-democrats#ixzz34YImlXoA
That "truth" is pretty warped. - More like fictional.
[ In Reply To ..]nm
Sarah Palin also doubled down on her version of Paul Revere's ride. - sm
[ In Reply To ..]Listen carefully: There are no "death panels." There is, however, no shortage of propaganda from the right wing echo chamber to deflect from the real issue of affordable care for the American people: Insurance providers have to take a cut and operate more efficiently. Sarah Palin is nothing more than an obstructionist without a clue...... on all number of subjects.
Death panels - MT1
[ In Reply To ..]Absolutely right SM! It's hard to believe that the same old BS rumors are still out there. There are no death panels. Where do you guys get this crazy info?
Too bad you didn't read the article. - Truthhurts
[ In Reply To ..]Posters complain if there aren't any links, but when there are links, they don't follow through and read them anyway.
I posted excerpts from the article but the link is there. It's up to you to read it. That's the problem with some here. You don't read articles when links are posted, yet still believe nothing changes. Did you even know about the 38 changes Obama made to the healthcare law? Probably not.
Too bad no one has any idea what other posters do. - sm
[ In Reply To ..]I cannot fathom how in the world posters actually think they know what other posters did or did not do.
I read the article, and I was underwhelmed. Howard Dean doesn't like the IPAB, so what? His opinion, IMO, is wrong, and I know that regardless of that opinion of the IPAB, Dean is in no way calling the IPAB a "death panel" in the way that Sarah Palin and Fox News try to portray it. (see link)
Dean said, "the IPAB is essentially a health-care rationing body. By setting doctor reimbursement rates for Medicare and determining which procedures and drugs will be covered and at what price, the IPAB will be able to stop certain treatments its members do not favor by simply setting rates to levels where no doctor or hospital will perform them."
Setting aside the fact that Dean is a paid lobbyist for big pharma, I take issue with his assertion that IPAB is "essentially a health-care rationing body." To limit the universe of options available is not "rationing," in essence, in that no one is proposing the denial of treatment but merely proposing that Medicare won't be given rubber stamp approval to pay for any/all pharmaceuticals and/or procedures. The IPAB's purpose is to recommend treatments that are effective both cost-wise and health-wise. This is a recommendation that limits doctors ordering of procedures that actually maximize the physicians' profitability while increasing costs to American taxpayers and indirectly driving up costs for insureds. The IPAB's function is not rationing but to return control of health care spending back to the people through their representatives in Congress.
What if the IPAB or something similar wasn't in place, they'd gripe about the health care companies getting rich at the taxpayers' expense. You want the free-market insurance companies overcharging insureds/taxpayers by maximizing their profits through certain costs that game the system or do you want some kind of mechanism in place to finally limit their profiteering at your expense? How anyone gets "death panels" out of that is beyond me.
Oh wait, it's just silly Sarah saying stupid stuff to spread fear and smear and scare people silly, same old senseless nonsense.
I'll take DNR/DNI any day, over a long, drawn- - out death on life support.
[ In Reply To ..].
Good thing you'd rather have DNR/DNI because you soon won't have the choice. - anon
[ In Reply To ..]xx
That "choice" is most often made by relatives - so that they can lead themselves - S/M
[ In Reply To ..]to believe they "did everything they could". If the patient doesn't take the initiative beforehand, and have a living will, or put DNR/DNI in their end-of-life wishes for hospital or hospice care, when it comes down to that hard choice of "do everything technology will allow" or "let them go peacefully", when push comes to shove, most people don't have the intestinal fortitude to let their loved one go.
THAT'S what scares me. I already know there is no such thing as a "death panel" in this already highly litigious society, and I think it's far better for doctors to have this discussion with both the patient and the family BEFORE it's too late. Otherwise, the decision often can't be made because of the extreme emotions that surround death.
Well now your relatives don't have to go through that pain - The govt beauricrats make that choice
[ In Reply To ..]for them. Your relatives should be relieved now that they don't have to make those decisions anymore.
Even if it's before you're on life support or you don't have a choice? nm - Truthhurts
[ In Reply To ..].
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