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Subject:  Re: Open letter to Yoda on Healthcare Date:  12/18/2012  8:24 PM
Author:  yodaorange Number:  411684 of 532231

Ormont said: One of the poorer scores is that of “days stay” where we are at about 6

Jeff, thanks for this update. It perfectly fits with what happened to my deceased friend. He was in the hospital I think for 6 days before being discharged to go home. In less than 24 hours, he was literally turning blue due to a lack of oxygen. While I am sure the hospital does not want to see customers decease, kicking them out early might not be the best option.

I wonder if the hospital tracks: "Number of patients that likely deceased because we released them too soon?"

As if on que, the headline of the New York Times business section right now is:

Hospitals Fear They’ll Bear Brunt of Medicare Cuts

With growing pressure to reach an agreement on deficit reduction by the end of the year, some consensus is building around the idea that the largest Medicare savings should come from hospitals and other institutional providers of care.

“Hospitals will be in the cross hairs for more cuts,” said Lisa Goldstein, an analyst with Moody’s Investors Service, which follows nonprofit hospitals that issue bonds. While hospital executives fiercely defend the payments their own institutions receive, many acknowledge that Medicare is spending too much and growing too fast.

Those executives point out, however, that they have already agreed to $155 billion in cuts over a decade as part of the Affordable Care Act and they face billions more in additional cuts as part of the current negotiations. They argue that such large cuts to hospitals will ultimately affect beneficiaries.

“There is no such thing as a cut to a provider that isn’t a cut to a beneficiary,” said Dr. Steven M. Safyer, the chief executive of Montefiore Medical Center, a large nonprofit hospital system in the Bronx.

In my friends case as in many cases, it would be hard to 100% prove he deceased because he was released early. I sure would not want to be the discharging doctor. There are plenty of lawyers that would attempt a malpractice case in these circumstances. Increasingly doctors are refusing to see Medicare patients. It is pretty understandable. . .

Thanks for the update,

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