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LSU Health Science Center’s Dr. Leigh Vinocur on the potential impact of the health-care law on patient care.
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Is any truth to this having -- some hospitals actually be turning people way back to read and Joker is with Louisiana state university health what.
The show and -- confusing let me about this story.
People are readmitted doesn't hospital get to bill for all those services again and and when they perform tests don't they make money off that I don't understand whether or not trying to -- to have to have people hospital.
Well -- -- Well the truth is is the way that Medicare paid in the past they sort of set this up it was like a one payment.
It covered how long you could be in the hospital according -- diagnosis.
So hospitals had to get patients out or they would be paying more money now there's penalties at the patients get re admitted that the problem is.
Academics banners tertiary care like teaching hospitals and in universities they get the sickest patients.
So and sometimes you know you can't help -- patients don't follow instructions they keep smoking may have another heart attack so sometimes you can't avoid readmission.
So now these days CEOs come in and they say were gonna take care the patients when they get out and prevent them from getting again.
But the problem is they gonna cherry pick the healthiest patients -- they'll make the most money.
There's a whole layer of administrative.
Work that's gonna eat up some of the costs.
And patients aren't widgets you can't pay a set amount of money and here this should cover all these widgets and -- -- reasons than people don't work that way.
He knew at what's about this is just this a problem when you remove the person who's paying so far from where the point of services -- pay if you had the person right there that knew what the bill was -- decided what they were getting based on what they could they could afford.
It would be one thing but that the person paying the government is so far away from what's going 09.
That inevitably you have gaming the system.
Yes it's true and it's a problem and you know what insurance companies tried to do this in the ninety's with help.
Care a health maintenance or managed care and it didn't work that decapitated things.
It just doesn't work it and -- health care is to -- -- You're absolutely right Melissa people are to removed.
There's a definite problem but I don't see how this is gonna help things now take care of the problem I'm shocked that there weren't warning bells going off these -- had when they were making this video they're handing the cash from the barring a person from coming in.
Nobody who is shooting that video or in that video said.
-- this look really bad if someone got hold of it I mean this is like that you don't the Government Accountability Office anyway thank you so much for coming -- we appreciate your time all right next up.
