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.
Obamacare not only is unconstitutional, it illegally bypasses Congress, infringes on states’ rights and marks an unprecedented and unauthorized expansion of Internal Revenue Service power, according to a brand-new book released today.
In “Impeachable Offenses: The Case to Remove Barack Obama from Office,” New York Times bestselling authors Aaron Klein and Brenda J. Elliott quote scholars and legal organizations contending Obamacare constitutes a clear case of “taxation without representation.”
“Impeachable Offenses” shows Obamacare may violate multiple sections of the Constitution.
While the Obama administration may argue the healthcare legislation was upheld by the Supreme Court, “Impeachable Offenses” reports the White House has been hard at work changing the implementation of key sections of Obamacare without congressional oversight.
Read more here.
The Daily Mail reported:
More than 1,600 new employees hired by the U.S. Department of Health and Human Resources in the aftermath of Obamacare’s passage include just two described as ‘consumer safety’ officers, but 86 tasked with ‘criminal investigating’ – indicating that the agency is building an army of detectives to sleuth out violations of a law that many in Congress who supported it still find confusing.
On the day President Obama signed the Affordable Care Act into law in 2010, HHS received authority from the Office of Personnel Management (OPM) to make as many as 1,814 new hires under an emergency ‘Direct Hiring Authority’ order.
The Obama administration ordered that employment expansion despite a government-wide hiring freeze.
A total of 1,684 of those positions were filled. An analysis by MailOnline shows that at 2010 federal government salary rates, the new employees’ salaries alone cost the U.S. at least $138.8 million every year.
Had the agency filled all its available jobs, that cost would have been a minimum of $159 million.
The hiring began in May 2010 and continued through June 2013, making the later hires eligible for higher salaries as a result of annual cost-of-living increases.
The difference between what HHS spent on new Obamacare-related employees and what it was authorized to spend is explained by its failure to hire most of the 261 ‘consumer safety officers’ it was authorized to bring aboard. Only two such employees were hired.
But while OPM authorized HHS Deputy Assistant Secretary for Human Resources Denise Carter — later renamed Denise Wells — to hire 50 criminal investigators, the agency increased that number to 86 on its own.
After MailOnline lodged a Freedom Of Information Request with HHS, the agency sent a spreadsheet containing records of the positions it filled, along with the salary level for each one on the government’s ‘GS’ hiring scale.
The lowest salary on the list was for a single contracting officer at Grade 7, Step 1, an annual rate of about $42,350, including a so-called ‘differential’ payments. Those increases are given to all federal employees in order to adjust for regional cost-of-living differences.
The highest salary in 2010 dollars, including that differential payment, was about $161,450, earned by a total of 29 new employee. They include health insurance administrators, contracting officers and information technology managers.
The fleet of 86 new criminal investigators are earning a range of compensation between $51,800 and $89,350, according to the 2010 salary tables and differential payment guidelines.
United Parcel Service Inc. plans to remove thousands of spouses from its medical plan because they are eligible for coverage elsewhere. The Atlanta-based logistics company points to the Affordable Care Act, or Obamacare, as a big reason for the decision, reports Kaiser Health News.
The decision comes as many analysts are downplaying the Affordable Care Act’s effect on companies such as UPS, noting that the move reflects a long-term trend of shrinking corporate medical benefits, Kaiser Health News reports. But UPS repeatedly cites Obamacare to explain the decision, adding fuel to the debate over whether it erodes traditional employer coverage, Kaiser says.
Rising medical costs, “combined with the costs associated with the Affordable Care Act, have made it increasingly difficult to continue providing the same level of health care benefits to our employees at an affordable cost,” UPS said in a memo to employees.
Read more here.