Posted on 12/08/2014 7:30:20 PM PST by Republican Wildcat
LEXINGTON — Rural hospitals in Kentucky are facing some of the biggest challenges in their histories and some may be forced to close their doors state auditor Adam Edelen told the Kentucky Chamber on Monday.
Edelen, who will be releasing an audit on the plight on the states rural hospitals in January, told members of the Kentucky Chamber of Commerce who were attending their annual legislative preview conference, that the difficult economy and managed care are the primary drivers of the difficulty in rural health care.
Generally, Medicare reimburses hospitals around 90 percent of cost while Medicaid reimbursement is around 80 percent.
“When some hospitals have 70 to 80 percent of their share being from government insurance, that isn’t manageable, it’s not sustainable over the long term because what it assumes is balance in the system where non-government insurance, that is private insurance that the people get from their employers, actually reimburses providers at above the rate of cost,” Edelen said.
Edelen also talked about what a rural hospital means in the areas that they serve from a business standpoint since many of them are the largest employer and provide the highest paying jobs in the areas that they serve.
“In every county that hospitals operate, they pay a significantly higher wage than is the county standard, Edelen said.
...
While conducting the audit, Edelen said he heard concerns from a number of people on the plight of rural hospitals and how their loss could have devastating effects on the areas that they serve.
(Excerpt) Read more at mycn2.com ...
“root and branch” ping
Another way to sock it to those Republican rubes out beyond city limits.
Sounds very Agenda-21-ish.
Also, perhaps this goes hand-in-hand with the plight of physician-owned hospitals, now a relic due to ØBolacare.
Health care deserts.
“.....it’s not sustainable over the long term because what it assumes is balance in the system where non-government insurance, that is private insurance that the people get from their employers, actually reimburses providers at above the rate of cost.”
I guess the rocket scientists have finally deduced the healthcare problem. “Free $hit,” isn’t really “Free” at all!
OTOH, from what I have seen, the HC “industry” is simply kiting the bill so that when they get paid, even by Medicare, they make out. Example: It took my 92 year-old mother five days in the hospital to die. Bill was $50,000. (That, in and of itself is a ripoff because they didn’t do anything but feed her Morphine and give her a bed.) Medicare “disallowed” all but $8,900. and paid 90% of that figure. I paid $980. out of her estate. So I guess if you have private insurance, you get the whole bill.
embrace the bleed
:-(
This all is within the plan of the Regressives who want us all to live in urban areas. This solves many one-driver automobile issues, high density housing that also frees up rural land for “nature”. You can look it up.
This is only the intermediate step to government control. This is the step with government rules that cause private insurance and health care to go bankrupt. Then the state will swoop in to rescue us from private industry that does not work.
Smaller hospitals are in trouble also because the feds are requiring them to get expensive electronic medical record software, costing sometimes millions of dollars, software that has no proven advantages in terms of patient outcomes, but certainly sucks the dollars away from the patient and out of the bottom line. By the way, these software companies are big Obama and Democrat donors. Yet again, Obama and the dems favor the corporatists over the little guy.
Prepare for “cash only” medical care. There will be independent clinics (first aid and diagnosis only), mobile doctors who come to your home if needed, internet doctors (no office appointments or visits - 24 hours availability), self testing and diagnosis kits (with internet analysis and response), off-shore hospitals for hands on surgery, maybe remote surgery through the internet, and other replacements for health care and medical aid in the 21st century. Cash will be king until insurance coverage becomes affordable, if ever, once again. If you have the cash or a medical savings account, you might never need insurance.
Dream on, it will happen...
The state will not have the money
I don’t know. I’m just not seeing it
May have been the plan. It also could have been just destroy everything about this country
They can’t even run the va hospital system
We are $18 trillion in debt. They’re not going to be able to run any kind of a system on middle class funding meant for the take it people
$6 to $12 thousand a year premiums with equally high deductibles?
I just got a $200 tv bill. Talked to the rep who wanted me to discuss reducing my ‘package’. From the basic. Talked to a mgr who wanted me to accept that my usage was high. That I was getting a lot for $200. No I’m not. The promotion ran out and my bill went up $60 per month
People must be paying a lot for TV, internet etc, autopsy. Not looking at it
But it will stop. When peoples medical is thousands per month for awhile and all out of pocket visits , tv, cars, gas, food, etc will come to a stop
No way the govt will be able to extract more than this
And from whom?
Millennialist owe more on college than I ever owed on mortgage or rent at their age.
And they have a double digit unemployment rate and a super low labor participation rate
Their ‘we love liberals’ days are over. But the GOP is worse, they’re behind the illegal swarm
And they will not be supporting this ridiculous medical plan
Ted Cruz was right at his stand up
So is levin
This government is worse than financially broke and they are inept
Obama just wants to wreck it
Autopsy is auto pay
the question is, are the trillions real money? I question whether enough real wealth in existence in any form equate to such a figure.
Our kids owe $19 trillion. Do you want to ask them if it’s real money?
I don’t.
They’re getting pissed - and more and more so, as they see hundreds per pay cycle sucked out of their checks, and as they realize what kind of college debt they were allowed to incur.
can the kids do the analysis? and if they can’t will they come after us in the afterlife?
In the afterlife? Hmm...
In a manner of speaking, perhaps so.
‘Hell to pay’ is a saying coined not by fools.
Nevertheless, spoken like a true baby boomer, ripping off the kids.
It’s criminal what we’re doing to them.
They’ll have long forgotten who Obama is, by the time we’ll live to regret not having the gonads to stop this mess, unless we do so.
Don’t forget that forcing people into urban areas places them in peril from the democrat voter base. Protection from those core voters carries a higher price tag for added police and jails along with emergency medical services.
Ha. This morning, an Obamabot was on Fox News citing KY as one of the wonderful places where Obamacare was working miracles. I guess not.
Just like the dodd frank scam to kill all the small banks and consolidate so the gov has better access and control so goes the rural hospitals and crap care design.
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