Re: Scarcity of specialists creating local crisis
For Medicare, which is a federal program, sort of (payment is made by DRG's--diagnostically related groups---which means payment is capitated depending on what region your facility is located and for senior citizens, who usually get treated for a multitude of ailments when they see their provider, reimbursement is only paid out for one of the therapeutic treatments per admission/visit, not all.) If you spend more than the government says it will pay you or it costs more for your facility to provide the services because you have older facilities or are located away from a large city, etc, you lose. If you're more efficient and can get your patient out the door sooner, you win. That's why there is this "revolving door" going on with elderly patients...they get discharged before they are totally recovered because the hospital doesn't want to lose money. On Maui, because there aren't enough long term nursing beds, Medicare patients end up taking hospital beds that could be used by younger, more critically ill patients.
Medicaid is a combination of fed and state, mostly state.
Miulang
Originally posted by brianca
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Medicaid is a combination of fed and state, mostly state.
Miulang
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