How ObamaCare Is Destroying PRMC

I would like to point out how Obama-care is causing the changes at PRMC. The new rule is, if a patient is re-admitted within 30 days of their discharge medicare/cade does not pay the hospital. I would like to put this in the context of 3 common examples.

1- Patient comes into hospital with a heart attack- they are stabilized and found to be a candidate for open heart surgery. The patient is discharged home for a week or less to gain strength for the surgery. The patient is readmitted for surgery- NO PAY for open heart surgery!

2- A patient has cancer. The patient is on a 21 day cycle of chemotherapy and has to be admitted for 1 or 2 days to take their treatment. The patient is admitted for the first treatment, discharged and is admitted again 21 days later for their next treatment. This cycle is subsequently repeated. NO PAY for subsequent treatments!

3- A patient is admitted for an exacerbation of a chronic condition (i.e. Heart Failure and others). The patient is admitted, stabilized, and discharged. When the patient goes home they have trouble taking or refuse to take their new medications to treat their condition. The patient is readmitted within 30 days due to their medication failure- NO PAY for subsequent admission!

1+2+3= ALOT OF $$$

Maryland, under O’Mally’s leadership, has been the most aggressive state in implementing Obama-care. No hospital in Maryland is currently turning a profit- a direct result of the 30 day rule!

I agree that shutting down the transitional care unit makes business sense, since there are other facilities (Healthsouth and others) who can provide this service. But, the transitional care unit is a small fraction of the real problem that PRMC is facing.

PRMC as a whole has effectively positioned itself for the new healthcare landscape. They have invested in outpatient facilities to focus on keeping people out of the hospital while maintaining cash flow. The hospital will still be there for acute care, but the goal is to decrease the need for acute care.

There will be ALOT of changes coming to healthcare in our country- some good, some bad. FOR SURE it will include more layoffs at PRMC! It will take time, but, I am confident that PRMC will recover and become a streamlined business.

From Anonymous…..

Author: AKA John Galt

A small business owner, a tea party organizer, a son, father and husband who is not willing to sell out the future lives of his children.

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