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Azreil is an MD? Never would have thought that.

 

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Fixing HealthCare.gov would be top priority, HHS nominee Sylvia Mathews Burwell says

 

same in the fucked up state of CA.

 

Affordable, my ASS!

Watch Out, Grandma: ObamaCare risks for the elderly




On May 7, the Obama administration boasted that ObamaCare was improving health-care quality for seniors, and it pulled out a bag of statistical tricks to prove it. But a closer look shows that it’s not improving care. It’s skimping on it, socking seniors with unexpected bills for “observation care” and likely shortening their lives.

President Obama’s Department of Health and Human Services announced that fewer seniors discharged from the hospital are returning for additional care within a month’s time. HHS claims that this drop in “readmissions,” from 18.5 percent in 2012 to 17.5 percent in 2013, signals quality improvement.

Nonsense. The 50 best hospitals according to US News & World Report’s Best Hospitals annual rankings have above-average readmission rates.

Nationwide, readmissions are dropping because Section 3025 of ObamaCare punishes hospitals if a senior returns within 30 days.

What happens to the senior treated for a heart attack who rushes to the hospital a week later feeling faint, possibly because of arrhythmia?

To dodge the penalty, hospitals put the patient under “observation.” It’s just a word on the chart. The patient may get the same tests and be put in the same room as if he had been admitted.

But unless he stays at least two nights, the hospital won’t bill Medicare for a stay, and the patient gets clobbered with the cost. Many seniors don’t even know they were under observation until they get the bill.

So much for HHS boasting about the drop in readmissions. HHS officials fail to mention that this coincides with a rise in elderly patients placed under “observation status.” It’s a hospital billing trick, and a dirty one for seniors.

Penalizing readmissions, which started in 2013, is one of the law’s tricks to reduce Medicare spending, never mind the impact on seniors. Cuts in future Medicare spending pay for more than half the law’s cost — robbing Grandma to fund health-care coverage for other groups.

It’s true that some readmissions are unnecessary and can be avoided if patients follow up with their doctors and take their meds after leaving the hospital. Low-income patients are less likely to do that, and hospitals caring for the poor are getting whacked hardest by ObamaCare’s readmission penalty.

The Obama administration plans to expand the readmissions penalties in 2015 to apply to many more conditions. It’s no wonder medical experts are protesting.

Dr. Ashish Jha, a professor at the Harvard School of Public Health, says it’s bogus to equate declining readmissions with quality. Many top academic hospitals have high readmission rates because their patients have serious illnesses and complications needing repeated stays.

Jha says the gold standard for measuring a hospital’s quality is how many patients survive a specific disease, such as pneumonia or congestive heart failure. Dr. Bruce Lytie, chairman of the Cleveland Clinic’s heart and vascular programs, also warns not to trust claims that lowering readmissions improves quality.

Don’t trust ObamaCare’s definition of “value” either. Everyone wants value, but ObamaCare defines it in a way that produces the opposite: dangerously skimpy care for seniors.

Section 3001 sets up a bonus system to reward hospitals for “value.” Bravo for rewarding hospitals that prevent infections. But the lion’s share of bonus points go to hospitals that spend the least per senior.

That cost-cutting will shorten lives. Evidence from 208 California hospitals shows that Medicare patients treated in the lowest-spending hospitals had a worse chance of surviving their illness and going home than patients with the same diagnosis treated at higher-spending *hospitals.

The research, sponsored by the National Institute on Aging and RAND, found that heart-attack patients were 19 percent more likely to die at low-spending hospitals. Who would want those odds?

Over a four-year period, 13,613 seniors who died from pneumonia, stroke, heart attacks and other common conditions at California’s low-spending hospitals might have recovered and gone home had they been treated elsewhere. And that’s just in one state.

Ignoring this evidence, ObamaCare incentivizes hospitals in all 50 states to imitate low-spending hospitals that are deadly for seniors. That’s some definition of value.

 

People still think it's the best shit to ever come down the pipe. More and more we will start seeing these knives in the back across the board for all ages, but not of course until the election is over. After the election you best install a steel plate or razor blades in your crack because obama will come knocking and ask you to bend over

 

[h=1]Unions, employers square off over ObamaCare costs in collective bargaining[/h]
Disputes between unions and employers over paying for new costs associated with the Affordable Care Act are roiling labor talks nationwide.


Unions and employers are tussling over who will pick up the tab for new mandates, such as coverage for dependent children to age 26, as well as future costs, such as a tax on premium health plans starting in 2018.

The question is poised to become a significant point of tension as tens of thousands of labor contracts covering millions of workers expire in the next several years, with ACA-related cost increases ranging from 5 percent to 12.5 percent in current talks.

Among the earliest supporters of the health-care law, unions have unsuccessfully tried to win concessions from the Obama administration on some issues now involved in the labor talks.


One pressure point is the higher costs of new mandates, especially the requirement that health plans expand coverage for dependents. For Unite Here, adding that coverage for 14,000 dependents raised costs in the health-care fund run by the union's Las Vegas local by $26 million since 2011, said union spokeswoman Bethany Khan.


The union plan covers 55,000 workers and 120,000 people in total. Casinos on the Strip have agreed to pay more to meet the higher health-care costs, according to contract summaries. Unite Here President D. Taylor called the rising costs tied to the health law the biggest hurdle to reaching settlements in Las Vegas.