User Panel
User Panel
User Panel
|
Posted: 4/17/2024 1:42:05 AM EDT
[#1]
Quote HistoryOriginally Posted By HIMARS13A: Did the physician make money or lose money? Or are you talking about midwives again? Quote HistoryOriginally Posted By HIMARS13A: Originally Posted By skid2041: I know plenty of insurance patients that have home births. Did the physician make money or lose money? Or are you talking about midwives again? Midwives. Which have to perform under a Dr license. Insurance will payout because it's cheaper than a hospital stay. |
|
|
|
AZ, USA
|
Posted: 4/17/2024 1:46:25 AM EDT
[#2]
Quote HistoryOriginally Posted By skid2041: Midwives. Which have to perform under a Dr license. Insurance will payout because it's cheaper than a hospital stay. 1. Midwives do not require physician supervision in my state. It's only required in 3 states, FWIW. 2. Most insurance doesn't cover home births, and if it does, it doesn't cover much. You can get a physician home birth for like $2,000 in some places, but good luck finding a doctor that will do it. I found one, in OKC, when I went looking last time. The insurance is extremely expensive and even OB/GYNs don't like the call schedule, let alone your family doctor. |
|
|
|
Posted: 4/17/2024 1:46:51 AM EDT
[#3]
Quote HistoryOriginally Posted By SARS: I'm sure you know a patient needing a CABG is going to be transferred to an appropriate center. Depending upon presentation and availability, he will quite possibly be flown directly to an appropriate center from the field. The reality is that is a tiny fraction of the patients seen, regardless of whether you're in an urban ER or BFE. The role of the rural hospital is not to replace experienced subspecialists. It is to identify those patients who need them, vs. those who need to be discharged and told to follow-up in the appropriate clinic, perhaps with a few new meds to take in the mean time. Rural hospitals can address many of the more common problems in an efficient and convenient location. Does an ASA 1 or 2 patient having a lap appy or chole really need to be flown to a major hospital? Quote HistoryOriginally Posted By SARS: Originally Posted By skid2041: Originally Posted By SARS: Originally Posted By skid2041: Originally Posted By SARS: Originally Posted By skid2041: Good, they are only "feeder" hospitals for bigger networks anyways. They have ambulances transport there instead of taking to the better, higher capable hospitals, so they can bill the insurance for a stay. Then transport the patient to the higher capable. Causing a delay I'm treatment & possibly death. Get more helicopters and fly the patients. Kemmerer mentioned in the story is at least 2 hours by ground from a significant hospital. And that is in decent weather. While you're onto something with the small hospitals closer to major hospitals, there are large chunks of the country that depend on rural hospitals to provide much of the care, or at least stabilize the patients while transport is arranged (and weather windows open). Flying everyone around (even if there were magical birds that aren't on hold much of the time like around here) would be extraordinarily expensive vs. taking them to the local ER where labs, imaging, etc. can often rule out the conditions for which patients would need to go to a major hospital. For example, an initial stroke workup, or chest pain workup, often can lead to discharge of the patient following appropriate diagnostics. It is more common for patients to be transferred straight from the emergency department of the rural hospitals than for patients to get admitted and then transferred, though it does happen, especially when initially no hospital agrees to receive the patient or transport is unavailable. Rural hospitals are a critical lifeline for much of the country. Could reforms be made to be more cost effective and promote better care? Sure, but outright elimination of them is a horrible idea. One, 2hr transport by ground is not unheard of. Two, rural hospitals barely "stabilize" patients. Three, there are fixed wing assets for transport as well. Rural community hospitals & hospitals in general are already heavily subsidized. No top notch surgeon or doctor will go. No one's going to place critical care assets there. You will get P.A's and be happy about it. So if all the ambulances are transporting people (4 hours round trip, and remember that is in good weather), who is going to respond to calls? How many ambulances would be required? Who is going to pay the EMS staff? Fixed wing transport is also often unavailable due to weather in the Rockies, and I imagine in other places like Alaska. My critical access hospital has the ER staffed by board certified EM docs, and the hospitalists are all experienced American MDs. If every maybe-sick patient is getting flown or driven to the major hospitals they are going to be overwhelmed quickly. The urban hospital I used to work in routinely had patients holding for days in the ER or some other location like a pre-op bay. I can't imagine increasing the volume by a large amount. Sorry to break it to you. But that happens in EMS systems daily. You just have to wait. "Staff by Board certified EM Dr" that's great. But, do you want the cardiothoracic to do a CABG on your heart that's done 1 every few months? Or the one that's done 6 CABGs daily for the last 6 months. Dr's are people to. Patie t contacts and seeing disease process & Patho matter. Which why level 1 Trauma centers are attached ro med schools.... see sick people matter. I'm sure the little hospital does its best and is great at many things. But I'm still going to the bigger hospital. Which can still fuck me up just as bad. But I will play the odds. I'm sure you know a patient needing a CABG is going to be transferred to an appropriate center. Depending upon presentation and availability, he will quite possibly be flown directly to an appropriate center from the field. The reality is that is a tiny fraction of the patients seen, regardless of whether you're in an urban ER or BFE. The role of the rural hospital is not to replace experienced subspecialists. It is to identify those patients who need them, vs. those who need to be discharged and told to follow-up in the appropriate clinic, perhaps with a few new meds to take in the mean time. Rural hospitals can address many of the more common problems in an efficient and convenient location. Does an ASA 1 or 2 patient having a lap appy or chole really need to be flown to a major hospital? My example is missed. Nevermind. Yes, it would be great if your rural hospital has surgical suites for appy's and lap chole's et al. My local rural hospital does not. And the the next closest has them but still transfers out most. I apologize, I understand there is a need. But they aren't going to get the funds or the staff. It's not profitable for anyone. |
|
|
|
|
Posted: 4/17/2024 1:48:47 AM EDT
[#4]
Quote HistoryOriginally Posted By HIMARS13A: 1. Midwives do not require physician supervision in my state. It's only required in 3 states, FWIW. 2. Most insurance doesn't cover home births, and if it does, it doesn't cover much. You can get a physician home birth for like $2,000 in some places, but good luck finding a doctor that will do it. I found one, in OKC, when I went looking last time. The insurance is extremely expensive and even OB/GYNs don't like the call schedule, let alone your family doctor. Quote HistoryOriginally Posted By HIMARS13A: Originally Posted By skid2041: Midwives. Which have to perform under a Dr license. Insurance will payout because it's cheaper than a hospital stay. 1. Midwives do not require physician supervision in my state. It's only required in 3 states, FWIW. 2. Most insurance doesn't cover home births, and if it does, it doesn't cover much. You can get a physician home birth for like $2,000 in some places, but good luck finding a doctor that will do it. I found one, in OKC, when I went looking last time. The insurance is extremely expensive and even OB/GYNs don't like the call schedule, let alone your family doctor. What's the going rate for midwife birth in your State? I bet it's still cheaper than a deductible for many insurances. |
|
|
|
|
Posted: 4/17/2024 1:49:39 AM EDT
[#5]
Quote HistoryOriginally Posted By HIMARS13A: ARFcom loves to bloviate about the moral superiority of people who "live rural" but when those rural areas are having their economies hollowed out they cheer it on rather than try to stop it. I don’t get it either. Instead of sending billions, we should be using that money at home where its needed. But I guess the big guy needs his 10 percent. This is all according to plan so they can stick you in cities where hospitals are just as worse. |
|
|
|
AZ, USA
|
Posted: 4/17/2024 1:50:51 AM EDT
[#6]
The other issue that keeps getting missed is that as you lose the jobs that rural hospitals provide, you are gutting the community financially.
100 years ago a rural community had a bank, a hospital, and a lawyer. Now they have a vacant dollar store. And when I point out that the single largest source of income in rural areas is transfer payments from the government, people get their panties in a bunch. What did you expect? Everything of value left! |
|
|
USA
|
Posted: 4/17/2024 1:52:22 AM EDT
[#7]
Quote HistoryOriginally Posted By 49north: Living in BFE ain't for everybody. It definatelt has its pros and cons |
|
|
AZ, USA
|
Posted: 4/17/2024 1:54:07 AM EDT
[#8]
Quote HistoryOriginally Posted By skid2041: What's the going rate for midwife birth in your State? I bet it's still cheaper than a deductible for many insurances. Not sure. Quick googling indicates $2,500 to $7,500 but I can't QC those numbers. They probably don't include sonography, for instance. I paid about $4k each for my kids in a hospital, insurance covered about $10k each. |
|
|
AZ, USA
|
Posted: 4/17/2024 1:55:26 AM EDT
[#9]
Quote HistoryOriginally Posted By Ivan1: I don’t get it either. Instead of sending billions, we should be using that money at home where its needed. But I guess the big guy needs his 10 percent. This is all according to plan so they can stick you in cities where hospitals are just as worse. I have a theory that we keep sending money to large financial systems like insurance companies and its sucking money out of our communities and into coastal blue states. And for some reason conservatives line up to defend that system. |
|
|
|
Posted: 4/17/2024 1:55:57 AM EDT
[#10]
Stop draining the system by letting morons go to ER for a yellow booger. ER is for EMERGENCY, not lazy ass fucks.
|
|
|
|
|
Posted: 4/17/2024 1:56:12 AM EDT
[#11]
Quote HistoryOriginally Posted By HIMARS13A: Not sure. Quick googling indicates $2,500 to $7,500 but I can't QC those numbers. They probably don't include sonography, for instance. I paid about $4k each for my kids in a hospital, insurance covered about $10k each. Quote HistoryOriginally Posted By HIMARS13A: Originally Posted By skid2041: What's the going rate for midwife birth in your State? I bet it's still cheaper than a deductible for many insurances. Not sure. Quick googling indicates $2,500 to $7,500 but I can't QC those numbers. They probably don't include sonography, for instance. I paid about $4k each for my kids in a hospital, insurance covered about $10k each. Same. We paid about $4-$5 k per kid. But again, plenty of uninsured have home births. |
|
|
|
|
Posted: 4/17/2024 1:58:36 AM EDT
[#12]
Quote HistoryOriginally Posted By wienerman1961: Stop draining the system by letting morons go to ER for a yellow booger. ER is for EMERGENCY, not lazy ass fucks. That ship has sailed. People ho to the county ER and get free Healthcare everyday. Even illegals. Been a thing for decades. Just like COVID, when much of the medicines ro keep you well were OTC. People couldn't help themselves, they need someone to help them. |
|
|
|
|
Posted: 4/17/2024 2:03:58 AM EDT
[#13]
Of all the corrupt and incompetent bullshit happening in clown world... Nothing is more broken, needs and deserves a collapse and reset more than the health industry.
I hope I live to see a day when hospital admins, doctors and medical billers are begging for my spare change in the street. I will tell them to mask up, get vaccinated and we are all in this together. Then roll up my window and drive off. Fuck that entire corrupt and useless industry. |
|
|
|
|
Posted: 4/17/2024 2:21:07 AM EDT
[#14]
In Washington most smaller rural hospitals are being bought out by bigger (sometimes out of state) hospitals and medical conglomerates.
Those that manage to stay viable have a large infusion of "free cash" from the county taxpayers and from state/fed grants. They also gobble up smaller private practices, pharmacies, clinics and specialty medical. The local pharmacy closed its doors after 57 years and it was bought out by an out of area medical company. They are having "issues" with getting the permits to reopen the pharmacy as a combined doctors office and pharmacy. Word has it that the "local" hospital wants to buy it. The local eye doc and glasses maker sold his thriving practice to the local hospital. He had 3 offices in the county. The local hospital closed all three offices and reopened their shuttered since the mid '00's eye doctor office at the hospital. The only reason why a rural hospital is losing money is because there are not enough illegals, homeless fucks, drug addict zombies and worthless shitfucks to get the big bucks from the state/feds. It's my opinion that most hospitals exist to fill the beds and make money. |
|
|
|
|
Posted: 4/17/2024 2:33:40 AM EDT
[#15]
Quote HistoryOriginally Posted By killstick_engaged: FL should probably be friendlier to NPs and PAs and employ more of them with less restrictions. With millions more people thanks to unfettered border jumping and illegal aliens they will be needed like it or not, unless we can somehow sneeze them all out of the country. As I said before even Donald Trump himself was very favorable to those professions. I'm sure he was aware of the demographic nightmares we are heading towards, even without the last several years of illegal aliens coming in. That said the report just wants more communism PAs and NPs are great for hospital systems because they refer and test at 4-5x the rate of physicians, which drives sales. If you actually want to go to the clinic and get the issue settled with finality, get a doc. |
|
|
|
|
Posted: 4/17/2024 2:40:29 AM EDT
[Last Edit: Boomer]
[#16]
Quote HistoryOriginally Posted By HIMARS13A: ARFcom loves to bloviate about the moral superiority of people who "live rural" but when those rural areas are having their economies hollowed out they cheer it on rather than try to stop it. They also love to bloviate about the moral superiority of rural living until it’s time to do rural living shit. Like accepting that a proper hospital or full medical care is a 2 hour drive way. To be honest, I am kind of surprised that someplace like Kemmerer even has any sort of hospital. That place is small with hardly any communities or population around it to support a hospital. I would think a basic medical clinic is more appropriate. And that town is going to be super fucked if/when that coal plant closes. |
|
|
|
WY, USA
|
Posted: 4/17/2024 3:10:12 AM EDT
[#17]
Quote HistoryOriginally Posted By Boomer: They also love to bloviate about the moral superiority of rural living until it’s time to do rural living shit. Like accepting that a proper hospital or full medical care is a 2 hour drive way. To be honest, I am kind of surprised that someplace like Kemmerer even has any sort of hospital. That place is small with hardly any communities or population around it to support a hospital. I would think a basic medical clinic is more appropriate. And that town is going to be super fucked if/when that coal plant closes. Unless it's fallen through they're building a nuke plant there. I find it interesting that despite so many of these critical access hospitals struggling more continue to be built. Pinedale is building one, and Saratoga recently opened one. |
|
|
|
Posted: 4/17/2024 3:38:52 AM EDT
[#18]
Quote HistoryOriginally Posted By Boomer: They also love to bloviate about the moral superiority of rural living until it’s time to do rural living shit. Like accepting that a proper hospital or full medical care is a 2 hour drive way. To be honest, I am kind of surprised that someplace like Kemmerer even has any sort of hospital. That place is small with hardly any communities or population around it to support a hospital. I would think a basic medical clinic is more appropriate. And that town is going to be super fucked if/when that coal plant closes. They have to turn clinics into hospitals because the reimbursement rate is higher for hospitals. Same reason every urgent care in Texas is an ER and primary care won’t take you when you’re sick. |
|
|
|
|
Posted: 4/17/2024 5:02:29 AM EDT
[#19]
Quote HistoryOriginally Posted By skid2041: Good, they are only "feeder" hospitals for bigger networks anyways. They have ambulances transport there instead of taking to the better, higher capable hospitals, so they can bill the insurance for a stay. Then transport the patient to the higher capable. Causing a delay I'm treatment & possibly death. Get more helicopters and fly the patients. Tell me you know nothing about prehospital care and air ambulances without telling me… |
|
|
|
|
Posted: 4/17/2024 6:01:46 AM EDT
[#20]
Quote HistoryOriginally Posted By bayouhazard: Can't make enough money if there are too many healthy people or not enough sick people? Or people don’t pay their bill… |
|
|
|
|
Posted: 4/17/2024 6:04:00 AM EDT
[#21]
Originally Posted By JLPettimoreIII: In a little more than two years as CEO of a small hospital in Wyoming, Dave Ryerse has witnessed firsthand the worsening financial problems eroding rural hospitals nationwide. In 2022, Ryerse's South Lincoln Medical Center was forced to shutter its operating room because it didn't have the staff to run it 24 hours a day. Soon after, the obstetrics unit closed. Ryerse said the publicly owned facility's revenue from providing care has fallen short of operating expenses for at least the past eight years, driving tough decisions to cut services in hopes of keeping the facility open in Kemmerer, a town of about 2,400 in southwestern Wyoming. South Lincoln's financial woes aren't unique, and the risk of hospital closures is an immediate threat to many small communities. "Those cities dry out," Ryerse said. "There's a huge sense of urgency to make sure that we can maintain and really eventually thrive in this area." A recently released report from the health analytics and consulting firm Chartis paints a clear picture of the grim reality Ryerse and other small-hospital managers face. In its financial analysis, the firm concluded that half of rural hospitals lost money in the past year, up from 43% the previous year. It also identified 418 rural hospitals across the United States that are "vulnerable to closure." Mark Holmes, director of the Cecil G. Sheps Center for Health Services Research at the University of North Carolina, said the report's findings weren't a surprise, since the financial nosedive it depicted has been a concern of researchers and rural health advocates for decades. The report noted that small-town hospitals in states that expanded Medicaid eligibility have fared better financially than those in states that didn't. |
|
|
|
|
Posted: 4/17/2024 6:06:46 AM EDT
[#22]
Quote HistoryOriginally Posted By HIMARS13A: The other issue that keeps getting missed is that as you lose the jobs that rural hospitals provide, you are gutting the community financially. 100 years ago a rural community had a bank, a hospital, and a lawyer. Now they have a vacant dollar store. And when I point out that the single largest source of income in rural areas is transfer payments from the government, people get their panties in a bunch. What did you expect? Everything of value left! We have 6. 
|
|
|
|
|
Posted: 4/17/2024 6:43:50 AM EDT
[#23]
I miss our small local hospital. Especially the emergency room. Got many stitches there.
|
|
|
|
|
Posted: 4/17/2024 6:45:50 AM EDT
[#24]
I deal with these issues weekly.
being in the medical field in large Metro Hospitals and coming from a rural background. a major issue like my hometown is that the hospital ( which was one of the largest non Metro Hospital in the state) is that they are run by city/county handpicked board members who have no business at all running a hospital. these power hungry board members refuse to allow the city to vote or vote themselves on selling the hospitals to large Hospital Systems out of Tulsa or OKC. these large Hospital Systems would be able to serve those areas 1000% better without having to transfer patients daily for issues that could be treated there and they are solvent and would be able to enlarge and upgrade the facilities immediately. its very sad. those people living in those rural areas are medical hostages in some cases. |
|
|
|
|
Posted: 4/17/2024 6:47:34 AM EDT
[#25]
Quote HistoryOriginally Posted By ChuckD05: I mean, she could have it in a bathtub, or bring back midwives? Like we didn't have children before hospitals. i work in fetal maternal medicine as a part of my profession. trust me, you don't want that. when things go south, it goes south very, very quickly for the mother and or baby. |
|
|
|
|
Posted: 4/17/2024 6:49:23 AM EDT
[#26]
Quote HistoryOriginally Posted By phatmax: Wow. You have no idea about how much pressure rural hospitals relieve off of bigger hospitals, or any clue that the number of patient beds to population is shrinking, or that the number of doctors per capita is dwindling rapidly. All massive contributing factors to even shittier care at major hospitals. this. the key is to empower the rural hospitals.I see it every day. |
|
|
|
|
Posted: 4/17/2024 6:58:07 AM EDT
[#27]
Quote HistoryOriginally Posted By HIMARS13A: ARFcom loves to bloviate about the moral superiority of people who "live rural" but when those rural areas are having their economies hollowed out they cheer it on rather than try to stop it. Ive never seen a hospital that wasn't in a city so... |
|
|
|
|
Posted: 4/17/2024 6:59:40 AM EDT
[#28]
Treating illegal immigrants for free can do that.
|
|
|
|
|
Posted: 4/17/2024 7:05:51 AM EDT
[#29]
Quote HistoryOriginally Posted By Chokey: we keep taking them over here in Ohio, further and further away from central Ohio. Yup. OhioHealth now owns our local hospital (and I'm sure it's still operated at a loss even then). It's now the only hospital within a 1 hour radius. ER seems to have a constant flow of opioid seekers. |
|
|
|
|
Posted: 4/17/2024 7:07:03 AM EDT
[#30]
Quote HistoryOriginally Posted By killstick_engaged: You need staff to bill for services. They don't have staff. Couple things mentioned already CEO and admin probably make tons of cash still Providers who provide actual services (physicians, PAs, and since it's Wyoming, nurse practitioners) are not incentivize to work there because the pay for them is shit. Even though they and the taxpayer are the primary ones whose work keeps the lights on. Donald Trump and his cabinet figured this out and tried to get NPs and PAs better reimbursement. It's always the same song and dance with these 'failing' places. They want money but don't want to incentivize people to work there because it involves paying money to make money. Note how the article touts medicaid expansion at the end , once more putting the burden on the taxpayer while not actually solving any problems. Pay actual providers more and they will come. God forbid admin take a pay cut tho Quote HistoryOriginally Posted By killstick_engaged: Originally Posted By bayouhazard: Can't make enough money if there are too many healthy people or not enough sick people? You need staff to bill for services. They don't have staff. Couple things mentioned already CEO and admin probably make tons of cash still Providers who provide actual services (physicians, PAs, and since it's Wyoming, nurse practitioners) are not incentivize to work there because the pay for them is shit. Even though they and the taxpayer are the primary ones whose work keeps the lights on. Donald Trump and his cabinet figured this out and tried to get NPs and PAs better reimbursement. It's always the same song and dance with these 'failing' places. They want money but don't want to incentivize people to work there because it involves paying money to make money. Note how the article touts medicaid expansion at the end , once more putting the burden on the taxpayer while not actually solving any problems. Pay actual providers more and they will come. God forbid admin take a pay cut tho But you don't understand, the CEO deserves to make a cool mil. How many people are there with the know-how to drive a business into the ground? |
|
|
|
|
Posted: 4/17/2024 7:09:47 AM EDT
[#31]
Quote HistoryOriginally Posted By flightmed: Tell me you know nothing about prehospital care and air ambulances without telling me… This should be good, where he tries to tell you about your career, and how you don't understand. |
|
|
|
IA, USA
|
Posted: 4/17/2024 7:11:16 AM EDT
[#32]
Quote HistoryOriginally Posted By ChuckD05: I mean, she could have it in a bathtub, or bring back midwives? Like we didn't have children before hospitals. Childbirth once had an incredibly high mortality rate. You want to go back to that? |
|
|
USA
|
Posted: 4/17/2024 7:16:44 AM EDT
[Last Edit: HourOfAngle]
[#33]
I live on the very edge of a county that has 6,000 people in it. In the very crap town on the other side of the county they have a "hospital". I never go there and never go to that town. I cross the county line feet away and drive to the regional medical center that is in that county. Pretty sure they say hospital they mean clinic and there are likely no doctors there just maybe a nurse practicioner. Though someone told me they have an ER and a few rooms. Guessing close to 100% of the people in that town of 2,000 is on public assistance of some sort. They city is beyond bankrupt but were advertising a lot of money for a grant writer for someone to apply for grants. Meaning taxpayers are paying for it. It's probably the highest paid job there.
The federal goverment almost killed off the timer industry 40 years ago with their own "experiment" and though it did recover a lot of the mills left and never came back. It was a mill town. Now it's a ghetto minority town. The Carter administration built a public housing there as well as the "experient" that destroyed thousands and thousands of acres of timber. So you can live in public housing and the next nearest place you could actually get a job other than the stop and rob is 30 minutes or more away. The billboard used to say "oldest Anglo Town in TX", that is no longer the case by any shot. |
|
|
|
Posted: 4/17/2024 7:17:25 AM EDT
[#34]
Americans should be free to live wherever they want.
It should not up to taxpayers to provide a hospital nearby. No one has a "right" to a hospital (or anything else) nearby. |
|
|
|
|
Posted: 4/17/2024 7:30:42 AM EDT
[#35]
Good luck surviving a heart attack when you're a nowhere near a hospital. The lack of medical care in remote areas also affects tourists, not just residents. Have a nice day.
|
|
|
|
|
Posted: 4/17/2024 7:32:56 AM EDT
[#36]
Quote HistoryOriginally Posted By RocketmanOU: Yup. OhioHealth now owns our local hospital (and I'm sure it's still operated at a loss even then). It's now the only hospital within a 1 hour radius. ER seems to have a constant flow of opioid seekers. Quote HistoryOriginally Posted By RocketmanOU: Originally Posted By Chokey: we keep taking them over here in Ohio, further and further away from central Ohio. Yup. OhioHealth now owns our local hospital (and I'm sure it's still operated at a loss even then). It's now the only hospital within a 1 hour radius. ER seems to have a constant flow of opioid seekers. VW or SEMC? |
|
|
|
MN, USA
|
Posted: 4/17/2024 7:37:15 AM EDT
[#37]
Quote HistoryOriginally Posted By HIMARS13A: FWIW, the way to keep these hospitals open is for local employers (city and county governments, especially) to contract directly with the hospital and bypass insurance. The hospital keeps more money and the employer can save up to 50% of their healthcare spend. I believe this was tried but outlawed by obammy |
|
|
|
Posted: 4/17/2024 7:37:45 AM EDT
[#38]
Quote HistoryOriginally Posted By skid2041: Good, they are only "feeder" hospitals for bigger networks anyways. They have ambulances transport there instead of taking to the better, higher capable hospitals, so they can bill the insurance for a stay. Then transport the patient to the higher capable. Causing a delay I'm treatment & possibly death. Get more helicopters and fly the patients. $100,000 helicopter flights are the answer? |
|
|
|
|
Posted: 4/17/2024 7:38:50 AM EDT
[#39]
Quote HistoryOriginally Posted By bayouhazard: Can't make enough money if there are too many healthy people or not enough sick people? Throw in the poor and illegals. |
|
|
|
|
Posted: 4/17/2024 7:38:58 AM EDT
[#40]
We're looking at a long-term lease for ours.
A single hospital has no leverage during negotiations with insurance providers. The large providers have a huge pool of patients. Yes, I think the push is to drive expanded medicaid adoption, but I believe thst ship has sailed in TN. Our OB clinic is closed. A regular birth is reimbursed at ~$400 by TennCare/BcBs. A NICU birth is reimbursed at ~$1,300 by same. Private insurance reimbursements are fine, but any subsidized insurance is pretty poor. So we're entertaining offers for a long-term lease from a large Healthcare provider. Competition for market share is pretty fierce, the "big guys" can get fair reimbursement, and we've had significant interest. Our hospital is county owned. It's never been managed well in 60 years. The "good ol boys" had negotiated family members jobs and high pay. Watching them squirm has been fun. |
|
|
|
WI, USA
|
Posted: 4/17/2024 7:39:37 AM EDT
[#41]
Quote HistoryOriginally Posted By bayouhazard: Can't make enough money if there are too many healthy people or not enough sick people? |
|
|
|
Posted: 4/17/2024 7:40:09 AM EDT
[#42]
Sounds like their respective states should step in with funding to cover shortfalls. Every county should a reasonable sized hospital.
|
|
|
|
|
Posted: 4/17/2024 7:47:21 AM EDT
[#43]
Quote HistoryOriginally Posted By Lomshek: And there’s the real reason for the report. They want every state to adopt Medicaid expansion which is an integral part of the original Obamacare plan to lock people into dependency on government and drive private insurers out of business. As an added bonus it drives patients into the arms of federally funded community health clinics as one step closer to 100% government run healthcare. Their reimbursement rate after expansion increases by around 130% while hospitals stays flat. Today, 25% of Ohioans are on Medicaid, 3M out of 11.8M, that number was 2.2M in 2014. This was all on Gov. John "RINO" Kasich, I will never forgive him for that. |
|
|
|
WI, USA
|
Posted: 4/17/2024 7:47:34 AM EDT
[#44]
2400 population is barely enough to a support a local grocery store.
No way you could dream of having a sustainable hospital in that area. Taking about wanting your cake and eating it too. There’s pros and cons to living in the boonies, access to medical care is one of the cons. |
|
|
|
Posted: 4/17/2024 8:01:16 AM EDT
[#45]
Quote HistoryOriginally Posted By skid2041: Good, they are only "feeder" hospitals for bigger networks anyways. They have ambulances transport there instead of taking to the better, higher capable hospitals, so they can bill the insurance for a stay. Then transport the patient to the higher capable. Causing a delay I'm treatment & possibly death. Get more helicopters and fly the patients. You have no idea what you're talking about. |
|
|
|
USA
|
Posted: 4/17/2024 8:02:13 AM EDT
[#46]
Quote HistoryOriginally Posted By crashburnrepeat: Because nobody pays Ahem. You mean certain groups tend not to pay, on average. You know, the types that call 911 for an ambulance ride to the hospital so they can get Advil. You should see our hospital. One of the bigger hospital systems in the country. The ED looks like a scene out of a third world. Patients laying in beds in the halls, and not just a few here and there. Employees totally overworked. I could list scary stuff all day from just one ED. |
|
|
IN, USA
|
Posted: 4/17/2024 8:04:04 AM EDT
[#47]
So we're all in agreement.
Regional hospitals and universal health care. It's time has come. |
|
|
FL, USA
|
Posted: 4/17/2024 8:05:31 AM EDT
[Last Edit: jsnappa]
[#48]
Quote HistoryOriginally Posted By skid2041: Actually, I do. And they aren't releasing shit. For major hospitals. Except for maybe rehab spots. Rural are shipping daily all critical care or acute care to cities. Our university hospital serves 23 counties. They are expanding continuously to keep up with referrals/transports from rural areas. When I worked critical care (cardiac/neonate/trauma/neuro ICUs), a large number of our patients were from outside counties and we were constantly trying to find beds or set up an OR room for inter facility transports. The Friday before a holiday weekend was always busy due to the surrounding hospitals wanting to unload all their patients. 71% of the cancer center patients were from outlying counties. This was years ago. The hospital has since built 2 more hospitals and opened numerous clinics/emergency care centers, so I imagine the load from rural areas has increased significantly. They currently have 5 helicopters and 1 fixed wing. They also contract with a 3 helicopter company. They’re buying ground ambulances that can transport 2 patients and the critical care team (for when all those helicopters are not able to fly for an hour or two). There is also another large hospital system in town that is expanding rapidly. Large hospitals are actually the relief valve for rural hospitals. |
|
|
NY, USA
|
Posted: 4/17/2024 8:05:36 AM EDT
[#49]
Quote HistoryOriginally Posted By AKoch31: You have no idea what you're talking about. Quote HistoryOriginally Posted By AKoch31: Originally Posted By skid2041: Good, they are only "feeder" hospitals for bigger networks anyways. They have ambulances transport there instead of taking to the better, higher capable hospitals, so they can bill the insurance for a stay. Then transport the patient to the higher capable. Causing a delay I'm treatment & possibly death. Get more helicopters and fly the patients. You have no idea what you're talking about. Seriously. He's so full of shit it's not funny. Air medical will not fly if there is any chance of hazardous flight conditions. Most rural areas don't have high levels of ALS/paramedic providers. Transporting a chest pain multiple hours by ground to a tertiary is so far beyond stupid I have to think he's trolling. |
|
|
|
Posted: 4/17/2024 8:10:01 AM EDT
[#50]
Quote HistoryOriginally Posted By Lomshek: And there’s the real reason for the report. They want every state to adopt Medicaid expansion which is an integral part of the original Obamacare plan to lock people into dependency on government and drive private insurers out of business. As an added bonus it drives patients into the arms of federally funded community health clinics as one step closer to 100% government run healthcare. Their reimbursement rate after expansion increases by around 130% while hospitals stays flat. Quote HistoryOriginally Posted By Lomshek: The report noted that small-town hospitals in states that expanded Medicaid eligibility have fared better financially than those in states that didn't. And there’s the real reason for the report. They want every state to adopt Medicaid expansion which is an integral part of the original Obamacare plan to lock people into dependency on government and drive private insurers out of business. As an added bonus it drives patients into the arms of federally funded community health clinics as one step closer to 100% government run healthcare. Their reimbursement rate after expansion increases by around 130% while hospitals stays flat. Yup, this is what they are really after, and how they will try to do it. |
|
|
|
Win a FREE Membership!
Sign up for the ARFCOM weekly newsletter and be entered to win a free ARFCOM membership. One new winner* is announced every week!
You will receive an email every Friday morning featuring the latest chatter from the hottest topics, breaking news surrounding legislation, as well as exclusive deals only available to ARFCOM email subscribers.
AR15.COM is the world's largest firearm community and is a gathering place for firearm enthusiasts of all types.
From hunters and military members, to competition shooters and general firearm enthusiasts, we welcome anyone who values and respects the way of the firearm.
Subscribe to our monthly Newsletter to receive firearm news, product discounts from your favorite Industry Partners, and more.
Copyright © 1996-2024 AR15.COM LLC. All Rights Reserved.
Any use of this content without express written consent is prohibited.
AR15.Com reserves the right to overwrite or replace any affiliate, commercial, or monetizable links, posted by users, with our own.
