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In California we are well aware of this with the recent news with Prime Health Care being challenged on this practice as they have no contracts with the insurers and charge their published rates for out of network care, and the patient is stuck in the middle, but from the other side of the coin, some...
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Identity theft has reached a new plateau. How does one feel about a story like this, as he needed the surgery to save his life and he felt there was no other alternative. What he did was not right by any shape or form, but again, when threatened with death, desperate people do desperate things...
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This was quite a listing, some of the hospitals I am familiar with and even Hoag Memorial Hospital Presbyterian in Newport Beach was fined for leaving a surgical instrument inside a patient, which required a second surgery to remove. Other issues were related to death due to an overmedication,...
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33% found a big part of the right answer - software. Business Intelligence software for a hospital is something you almost can't live without, otherwise the audits can do what they just accomplished. The auditors will have the software to come in and audit with, so why not get a step...
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How important is the solvency of hospitals in the US? Just last week I commented on a recent situation here in southern California, a sting operation whereby hospitals were caught breaking the law in the search for additional funds from Medicare and Medicaid with using the homeless as reported...
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The insurance executives have taken the medical decisions and good medical care out control of clinicians, pretty simple. Have you had a surgical procedure lately? I had one surgeon recently tell me of procedures lined up by the hour, seven knees in seven hours, now does that make sense? ...
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These 3 new items could sure leave some questions on the table and issues could be cloudy. These 3 should be evaluated on an individual patient basis and not an overall listing, after all one patient could be allergic to most medications used for blood clots as a simple example. BD ...
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The hospitals in San Diego all still share on paper. Technology is not the problem here, it has to do more with incentives, for one why would 2 competing hospitals want to share, and I say this from a business standpoint only, as reflected in the article. The next question is who...
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The numbers on charity care speak for themselves. In California there’s something similar going on too with hospitals being closed, perhaps not to the same tune as what is happening in New Jersey. Some hospitals have been saved by being purchased by a company like Prime Healthcare...
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Prime Healthcare is growing in size, lagging just a bit behind Kaiser in size. By not having signed contracts, the hospitals can bill at their rate of service charge, so there are no breaks for the insurance companies. The hospitals see everyone in the ER rooms and are pretty much a lot of...