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 Health and Human Services department 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 admissions 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.
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This post originally appeared on Western Journalism – Informing And Equipping Americans Who Love Freedom