• If you are having problems logging in please use the Contact Us in the lower right hand corner of the forum page for assistance.

New Health Care bill will limit # of hospitals

hypocritexposer

Well-known member
Health Law Bans New Doctor-Owned Hospitals, Blocks Expansion of Existing Ones
Monday, April 12, 2010
By Fred Lucas, Staff Writer

(CNSNews.com) – The new health care overhaul law – that promised increased access and efficiency in health care – will prevent doctor-owned hospitals from adding more rooms and more beds.

These hospitals are advertised as less bureaucratic and more focused on doctor-patient decision making. However, larger corporate hospitals say doctor-owned facilities discriminate in favor of high-income patients and refer business to themselves.

The new rules single out physician-owned hospitals, making new physician-owned projects ineligible to receive payments for Medicare and Medicaid patients.

Existing doctor-owned hospitals will be grandfathered in to get government funds for patients but must seek permission from the Department of Health and Human Services to expand.

The get the department’s permission, a doctor-owned hospital must be in a county where population growth is 150 percent of the population growth of the state in the last five years; impatient admissions must be equal to all hospitals located in the county; the bed occupancy rate must not be greater than the state average, and it must be located in a state where hospital bed capacity is less than the national average.

These rules are under Title VI, Section 6001 of the Patient Protection and Affordable Care Act. The provision is titled “Physician Ownership and Other Transparency – Limitations on Medicare Exceptions to the Prohibition on Certain Physician Referral for Hospitals.”

More than 60 doctor-owned hospitals across the country that were in the development stage will be canceled, said Molly Sandvig, executive director of Physician Hospitals of America (PHA).

“That’s a lot of access to communities that will be denied,” Sandvig told CNSNews.com. “The existing hospitals are greatly affected. They can’t grow. They can’t add beds. They can’t add rooms. Basically, it stifles their ability to change and meet market needs. This is really an unfortunate thing as well, because we are talking about some of the best hospitals in the country.”

The organization says physician-owned hospitals have higher patient satisfaction, greater control over medical decisions for patients and doctor, better quality care and lower costs. Further, physician-owned hospitals have an average 4-1 patient-to-nurse ratio, compared to the national average of 8-1 for general hospitals.

Further, these 260 doctor-owned hospitals in 38 states provide 55,000 jobs, $2.4 billion in payroll and pay $509 million in federal taxes, according to the PHA.

In one ironic aspect, President Barack Obama’s two largest legislative achievements clashed. The Hammond Community Hospital in North Hammond, Ind., got $7 million in bond money from the federal stimulus act in 2009. It will likely be scrapped because of the new rules on physician-owned hospitals, according to the Post-Tribune newspaper in Merrillville, Ind.

These hospitals have long been a target of the American Hospital Association, which represents corporate-owned hospitals as well as non-profit hospitals.

An AHA study from 2008 says that physician-owned hospitals “lessen patient access to emergency and trauma case;” “damage the financial health of full-service hospitals and lead to cutbacks in service;” “are not more efficient than full service community hospitals;” “use physician-owners to steer patients;” “cherry pick the most profitable patients;” and “provide limited or no emergency services.”

Meanwhile, one AHA fact sheet asserts that physician-owned orthopedic and surgical hospitals costs are 20 percent to 30 percent higher than average hospitals. Further, these hospitals just lead to higher profits for doctors, the AHA asserts.

“We don’t cherry pick patients, period, end of story. We take patients based on their need for care, not on their ability to pay,” Sandvig said. “It [the health care reform] puts control outside the hand of physicians and patients and into bureaucrats’ hands really.

The Association of American Physicians and Surgeons (AAPS) is one of many organizations suing to have the law declared unconstitutional on the grounds that the federal government cannot compel someone to buy a product.

While the provision on physician hospitals is not part of the lawsuit, it will affect it, Dr. said Jane Orient, AAPS executive director.

“If the law is declared unconstitutional, then the prohibition is part of the bill,” Orient told CNSNews.com. “There are vested interests in getting rid of physician-owned hospitals because they do a better job and are more affordable.”

The provision in the legislation and efforts opposing these hospitals can be simply explained from Sandvig’s view.

“It’s anti-competitive. I think it’s pretty clear,” Sandvig said. “We’re a model that makes sense that’s affecting innovation. We’re trying to do something better than it has been done. Anytime you do that, there’s going to be a clash between the existing and the new. Unfortunately, it’s a real David and Goliath battle.”

CNSNews.com - Health Law Bans New Doctor-Owned Hospitals, Blocks Expansion of Existing Ones
 

hypocritexposer

Well-known member
jingo2 said:
Pure bullshite...................

Scare tactic

Here are some excerpts from the bill. It's like Pelosi said, "to find out what's in the bill, we'll have to pass it". Well now you will start finding out what is in the bill.

The get the department’s permission, a doctor-owned hospital must be in a county where population growth is 150 percent of the population growth of the state in the last five years; impatient admissions must be equal to all hospitals located in the county; the bed occupancy rate must not be greater than the state average, and it must be located in a state where hospital bed capacity is less than the national average.

‘‘(i) that is located in a county in which the percentage
increase in the population during the most recent
5-year period (as of the date of the application under
subparagraph (A)) is at least 150 percent of the
percentage increase in the population growth of the
State in which the hospital is located during that
period, as estimated by Bureau of the Census;

‘‘(ii) whose annual percent of total inpatient admissions
that represent inpatient admissions under the
program under title XIX is equal to or greater than
the average percent with respect to such admissions
for all hospitals located in the county in which the
hospital is located;

‘‘(iv) that is located in a State in which the average
bed capacity in the State is less than the national
average bed capacity; and

‘‘(v) that has an average bed occupancy rate that
is greater than the average bed occupancy rate in
the State in which the hospital is located.


Existing doctor-owned hospitals will be grandfathered in to get government funds for patients but must seek permission from the Department of Health and Human Services to expand.

REQUIREMENTS FOR HOSPITALS TO QUALIFY FOR RURAL
PROVIDER AND HOSPITAL EXCEPTION TO OWNERSHIP OR INVESTMENT
PROHIBITION.—

‘‘(A) PROVIDER AGREEMENT.—The hospital had—
‘‘(i) physician ownership or investment on February
1, 2010; and
‘‘(ii) a provider agreement under section 1866 in
effect on such date.
 

jingo2

Well-known member
hypocritexposer said:
jingo2 said:
Pure bullshite...................

Scare tactic

Here are some excerpts from the bill. It's like Pelosi said, "to find out what's in the bill, we'll have to pass it". Well now you will start finding out what is in the bill.

The get the department’s permission, a doctor-owned hospital must be in a county where population growth is 150 percent of the population growth of the state in the last five years; impatient admissions must be equal to all hospitals located in the county; the bed occupancy rate must not be greater than the state average, and it must be located in a state where hospital bed capacity is less than the national average.

‘‘(i) that is located in a county in which the percentage
increase in the population during the most recent
5-year period (as of the date of the application under
subparagraph (A)) is at least 150 percent of the
percentage increase in the population growth of the
State in which the hospital is located during that
period, as estimated by Bureau of the Census;

‘‘(ii) whose annual percent of total inpatient admissions
that represent inpatient admissions under the
program under title XIX is equal to or greater than
the average percent with respect to such admissions
for all hospitals located in the county in which the
hospital is located;

‘‘(iv) that is located in a State in which the average
bed capacity in the State is less than the national
average bed capacity; and

‘‘(v) that has an average bed occupancy rate that
is greater than the average bed occupancy rate in
the State in which the hospital is located.


Existing doctor-owned hospitals will be grandfathered in to get government funds for patients but must seek permission from the Department of Health and Human Services to expand.

REQUIREMENTS FOR HOSPITALS TO QUALIFY FOR RURAL
PROVIDER AND HOSPITAL EXCEPTION TO OWNERSHIP OR INVESTMENT
PROHIBITION.—

‘‘(A) PROVIDER AGREEMENT.—The hospital had—
‘‘(i) physician ownership or investment on February
1, 2010; and
‘‘(ii) a provider agreement under section 1866 in
effect on such date.


; impatient admissions First off all admissons are impatient.....

...but this proves whatever & where you're diggin this up --- pure BS cause the spelling is not right in half the stuff.....
 

hypocritexposer

Well-known member
jingo2 said:
hypocritexposer said:
jingo2 said:
Pure bullshite...................

Scare tactic

Here are some excerpts from the bill. It's like Pelosi said, "to find out what's in the bill, we'll have to pass it". Well now you will start finding out what is in the bill.

The get the department’s permission, a doctor-owned hospital must be in a county where population growth is 150 percent of the population growth of the state in the last five years; impatient admissions must be equal to all hospitals located in the county; the bed occupancy rate must not be greater than the state average, and it must be located in a state where hospital bed capacity is less than the national average.

‘‘(i) that is located in a county in which the percentage
increase in the population during the most recent
5-year period (as of the date of the application under
subparagraph (A)) is at least 150 percent of the
percentage increase in the population growth of the
State in which the hospital is located during that
period, as estimated by Bureau of the Census;

‘‘(ii) whose annual percent of total inpatient admissions
that represent inpatient admissions under the
program under title XIX is equal to or greater than
the average percent with respect to such admissions
for all hospitals located in the county in which the
hospital is located;

‘‘(iv) that is located in a State in which the average
bed capacity in the State is less than the national
average bed capacity; and

‘‘(v) that has an average bed occupancy rate that
is greater than the average bed occupancy rate in
the State in which the hospital is located.


Existing doctor-owned hospitals will be grandfathered in to get government funds for patients but must seek permission from the Department of Health and Human Services to expand.

REQUIREMENTS FOR HOSPITALS TO QUALIFY FOR RURAL
PROVIDER AND HOSPITAL EXCEPTION TO OWNERSHIP OR INVESTMENT
PROHIBITION.—

‘‘(A) PROVIDER AGREEMENT.—The hospital had—
‘‘(i) physician ownership or investment on February
1, 2010; and
‘‘(ii) a provider agreement under section 1866 in
effect on such date.


; impatient admissions First off all admissons are impatient.....

...but this proves whatever & where you're diggin this up --- pure BS cause the spelling is not right in half the stuff.....

no, it proves that you do not have very good eyes.

‘‘(ii) whose annual percent of total inpatient admissions
that represent inpatient admissions under the
program under title XIX is equal to or greater than
the average percent with respect to such admissions
for all hospitals located in the county in which the
hospital is located;


the word is "INpatient"

inpatient [ˈɪnˌpeɪʃənt]
n
(Medicine) a hospital patient who occupies a bed for at least one night in the course of treatment, examination, or observation Compare outpatient


but I'm sure there are some mistakes in spelling in the source document. They wrote and compiled it in quite a hurry and did not have the time it would take to proof read it.

It's from the library of Congress.

http://thomas.loc.gov/home/gpoxmlc110/h6912_ih.xml

http://thomas.loc.gov/cgi-bin/bdquery/z?d111:h.r.03590:

I dare say that you have tried to catch me before like this. Same old unsuccessful tactics, in an attempt to discredit. All the while proving once again that it is you that is incorrect, and is mis-informed.

edited: to add additional link to HR3590
 

Mike

Well-known member
Geez Hypo, the best you can do is the Library of Congress?

Yes Hypo. You must aspire to tying his ass in a knot with a much better source than that.

You sure your info wasn't from Rush Limbaugh's website? :lol: :lol:
 
Top