so they changed the font.http://nation.foxnews.com/obamacare/2012/02/29/obamacare-regulations-two-and-half-times-long-bible
here is the word count which i don't think includes the constant edicts coming from HHS.
Under the new System Third party audits will be done. Every Patient we admit with an inappropriate diagnosis we don't get paid for anything. So now we have to do a better job of assessing patients and assigning appropriate diagnosis's. It will no longer be enough to have an MD's reasonable assumption of Diagnosis.
this is a problem with the way health care is now but it's not about what the hospitals may or may not get paid for. if grandma comes in dizzy and with a headache and the tests are not done, and she is sent home only to come back in having had a stroke, the hospital is sued for millions of dollars. tort reform would take care of much of the problem, but the trial lawyers have a strong lobby and have opposed it every time. some states have been successful in capping compensation, but many have not....or have not tried.
the problem with obama care is that it punished doctors and hospitals for doing what they consider necessary. it's already a problem with medicare and this will be passed on to all of us. there is a balance but it won't be found with the government, anymore than it is found with the courts.
Under the new System Third party audits will be done
an unelected and unaccountable, except to the government, 3rd party. you want to put your trust in them rather than your doctor?
In the past year we have been operating under an assumption that the law applies now. We have an outside company surveying our patients using a similar tool to what the Gov will be using. We have increased our score from 68 to about 77, so we still have a long way to go. We have also been penalizing the admitting MDs and self auditing our diagnosis. The Unit I work on has 31 beds and we went from being full almost all the time with patients waiting on other units for a bed to open up, to having 4-5 empty beds all the time and seriously having to look at staffing.
wasn't this the constant complaint against HMOs? cost before care? it's already putting a big burden on providers with all the "free" stuff that was up front. this is by design, both to make it more palatable to the public and to start jacking up insurance rates so that people/business can no longer afford to pay for insurance.
We will not know until we are there.
but we do know because we can see how it has worked in other countries. we don't need to wait and see.
as for getting rid of medicare and medicaid, i think that is the goal. they will be rolled into the exchanges at government expense. in the mean time, because so many will end up on the government approved exchanges due to the cost to business, the left will essentially have achieved their goal of single payer. private insurance will be so prohibitively expensive people will have no choice but to turn to government programs.
a better solution, and one that clinics and urgent care facilities are using with success, is to go back to a cash for care system. people will shop for services and get the best deal. in this, those places not able to provide services at a good value will also go under and those left will compete for patients. competition makes cost go down and quality go up. people can still buy insurance, but most will find that when they are younger and healthy, it's far cheaper to pay for what you use, than to pay for the guy down the streets viagra.
of course, americans would have to stop expecting that health care insurance is a a right of employment......