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Gerry Clinchy
07-11-2010, 01:57 PM
NY Times
http://www.nytimes.com/2010/07/11/business/11seattle.html?pagewanted=1&th&emc=th

This may be evidence that a capitalist motivation can prove useful even in the pursuit of high-quality, compassionate health care.

sinner
07-11-2010, 10:40 PM
NY Times
http://www.nytimes.com/2010/07/11/business/11seattle.html?pagewanted=1&th&emc=th

This may be evidence that a capitalist motivation can prove useful even in the pursuit of high-quality, compassionate health care.

This has nothing to do with capitalist motivation! All of these tools have been available and ready to go for at least 10-15 years.

If you continue to watch what develops in IS for all of health care you will see just how far and obsolete the IS systems are & were.

If you had been working in the health care industry as I have you would have seen how their fear of someone steeling their information or their patient's information blocked any vision of IS in this industry. Why are they rushing to get it now?

Just maybe something positive will come out of the new health care news laws.

If you have not been to your MD's office recently even they are putting your information on IS systems.

A community in California (250,000 population) had done what the NY times writers are speaking of in the late 90s. You have to ask why did it take health care so long to change?

My wife was part of a team that worked for 4 years to get under-insured and non-insured health records up on a IS system for all providers in Colorado Springs to have access and when the project was up and ready to run guess who refuse to share their data; the two hospitals.

Health care is a mess! I would also suggest if you are with a corporation and you have an insurance plan just try to get financial data, usage date and outcome data from your insurance company.

Gerry Clinchy
07-12-2010, 08:07 AM
This has nothing to do with capitalist motivation! All of these tools have been available and ready to go for at least 10-15 years.


I still believe it has a LOT to do with capitalism. The health care industry is now under increased pressure on their profit margins, and they are compelled to put into use these measures to maintain the desired bottom line.

If they could have used these measures sooner, but did not, then the marketplace was not demanding enough.

Govt may have been a driving force, as well as insurance companies. But if this can be accomplished without use of tax dollars, it's to the good.

Yes, if the medical industry had been smarter, they might not have precipitated the uproar over skyrocketing costs that ultimately has resulted in the govt becoming involved to such a large extent.

sinner
07-12-2010, 04:38 PM
Hospitals number one boggy man is the Joint Commission . By the way the largest Hospital in Colorado Springs just got fined by Medicare for violation of the law (Fraud) to the total $750,000 just in rehab alone.

Gerry Clinchy
07-15-2010, 07:20 AM
Hospitals number one boggy man is the Joint Commission . By the way the largest Hospital in Colorado Springs just got fined by Medicare for violation of the law (Fraud) to the total $750,000 just in rehab alone.

Just one hospital & just one area of care. Don't forget about all the wheelchairs that cost Medicare 6X what they should ... and that's perfectly legal!

So much for those who say that the govt runs Medicare so well, and that fraud and abuse (and stupidity?) are of minimal concern.

sinner
07-15-2010, 10:50 PM
Just one hospital & just one area of care. Don't forget about all the wheelchairs that cost Medicare 6X what they should ... and that's perfectly legal!

So much for those who say that the govt runs Medicare so well, and that fraud and abuse (and stupidity?) are of minimal concern.

Please get your data updated. Medicare has gone after those companies also and some of the largest fines have been imposed. Were those companies capitalists or Crooks?
Medicare fraud is big business(actually bigger than illegal drugs).

Gerry Clinchy
07-16-2010, 05:28 AM
Sinner, on another thread I posted the reference to the wheelchair issue. There was no fraud there, it was perfectly legal under Medicare rules ... just an ill-conceived policy.

The policy was changed for motorized wheelchairs (though the new policy is not yet implemented; and it will be 3 years from the time they "investigated" the issue till the time it will be "fixed"), but remains the same for manual wheelchairs. The policy being that the patient must "rent" the chair at approximately $100/mo for 13 months, when it could be purchased for less than $300 (manual chairs; $230 was quoted in the article). If the patient dies before the lease is up, the chair goes back to the lessor ... and they can re-lease it all over again. After 13 mos of leasing, the patient owns the chair.

I might say that the policy is not really "fixed" ... motorized chairs DO cost more that $230, so leasing might make sense. The "new" policy will be a "bidding" process for the leases. It is the manual chairs that are far less expensive & which will still be subject to a 13-mo lease policy without a bidding required. So, if a patient lives beyond 13 mos after acquiring a manual chair Medicare ends up paying 6X the price of the chair.

So, in that case there are no "crooks" to be caught.