- if you or the old man's family has been sent to hospital recently discovered when can the hospital paid more attention, more than it good customer service.
By Monday, the medical insurance will begin to fine within 30 days from the date of discharge cause complications of patients to the hospital too much of the hospital. Punishment is the part that more widely promoted by President Obama's medical hygiene, in order to improve the quality of products, and at the same time trying to save the taxpayers' money.
About two-thirds of the hospital patients to provide health insurance, or about 2200 facilities, the average of venues to about $125000, the next year of punishment, according to government estimates, will be hit.
Already collected data to evaluate punishment and squelch, and medical insurance already with the hospital between the results of sharing. Medical insurance plan to publish online detailed information, in late October, people can see how to use the agency's "hospital compare" web community hospitals.
It increases a new way to do business hospital, their haste to prepare for more than a year. They are studying how to improve and rehabilitation center and the doctor and patient communications, they release, and patients with separate connection.
"There are a lot of activities in the hospital level straighten out internal process," said vice President Nancy foster, in the American hospital association quality and safety. "We also spread our wings a bit, reached in the hospital outside, in a certain extent, we can, in order to make sure the patients continue to benefit from treatment, they need to."
However, the officials say they have been beyond their control be investigated for legal responsibility doubts. They also complain that low-income people, including many of the major teaching hospitals, service facilities are more likely to be fined, improve the fairness problem.
"Again hospitalization part of hospitals and part of the control range of others within the scope of control," foster said.
The protection of consumers' rights group says, the medical insurance of the actuating hospital is looking forward to already for a long time, almost no enough rigidity.
"It's mild, but it is a start, consumer report health assessment, Ph.D., director of the center said:" Santa Claus. "We should feel surprised, industry against, you would expect them to oppose any change the status quo.
The first year, fines to a ceiling of 1%, the hospital medical insurance gold. The vast majority of punishment facilities will pay less. In addition, for the moment, the hospital only by the measurement of the tertiary medical conditions: heart attack, heart failure and pneumonia.
In hygiene, punishment will gradually rise to 3% of the medical insurance payment hospital risk. Medical insurance is to consider the hospital responsible for four measures: joint replacement, stent implantation, heart bypass surgery and treatment of stroke.
If general motors and Toyota motor problems, and ensure that their vehicles, hospital should have some similar obligation, the patient to receive a new knee or support, in order to reduce artery occlusion, Santa Claus argue. "Go to a hospital people solve their problems, but not have to come back," he said.
High readmission rate is just one part of it in the American health care system of high cost, product quality is uneven problem. Although it was estimated to hospitalization rate reaches as high as 20%, a congressional agency says, the prevention and the level of the hospital are much lower. About 12% of people hospitalization medical insurance beneficiary readmitted potential can prevent problems, the medical insurance payment advisory committee, called MedPAC said.
Foster, hospital, director of the institute said, drug mixed account problem, a large share. Many medical insurance beneficiary beneficiary to deal with a variety of chronic disease, lists to change their drugs in hospital, it's not unusual. But their doctor outside, sometimes not words, other times, patients do not understand change.
Another problem is to ensure that the patient to they needed a follow-up appointment.
Medical insurance deputy director Jonathan · blum says, he thought that the hospital has got the news.
"Obviously, this is to attract their attention," says bloom. "This is galvanized method, in order to reduce unnecessary to hospital hospital industry, it forced more health care system to work hard together, to ensure that patients have more smooth transition."
MedPAC, congress consulting group, the results of the study backup the personage inside course of study that the hospital for the poor service, including the main teaching facilities, more may face punishment. But now, bloom said: medical insurance is not tend to levels of curve.
"We really trying to solve and study the problem, said:" BaiLong. "If you look at the data, the hospital service is a low-income patients combination, for these measures to do very well. In our view, the hospital for low-income people to provide services, can be very good control in hospital again."
According to the Obama health care reform, the medical insurance are trying to try, to improve quality and reduce cost. They include return hospital quality results, and encourage hospitals, nursing homes and medical practice group to join "responsible care organization". Dozens of pilot project is underway. The result of the jury.




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