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Daily Dose - Squeezing cash out of dementia patients
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WC Douglass, M.D. TheDouglassReport@newmarkethealth.com to holcrest
show details 8:10 AM (50 minutes ago)
Daily Dose with William Campbell Douglass II, M.D.
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How nursing homes exploit their sickest residents
Dementia patients are being used as pawns in a highly profitable game of musical beds -- helping nursing homes to triple their revenues in a scam that you're just not going to believe.
Here's how it works: A dementia patient on his own, laying in a bed in a nursing home, will bring in $175 a day in Medicare payments.
That may sound like plenty -- $1225 for a single week -- but it's not the kind of money that earns big bonuses for nursing home executives at the end of the year, even in a joint with hundreds of these patients.
So they devise a reason to send the patient off to the hospital -- because when he gets back to the nursing home after that little trip, his value skyrockets.
Now, at least on paper, he needs "skilled care" in that nursing home -- so Medicare will pay TRIPLE the fees... even if it turns out that "skilled care" is exactly what the patient would have received if he had never left the nursing home in the first place.
It sounds like something the Enron boys would have schemed up, and the similarities don't end there. It's Medicare, after all, and that means you're the one ultimately footing the bill.
You'll find all the details of this massive hoodwink in the latest New England Journal of Medicine, which finds that 19 percent of advanced dementia patients in nursing homes are sent off for dubious hospitalizations near the end of their lives -- with some being moved back and forth multiple times in the space of just a few months.
These patients are sent to the hospital for conditions that are routinely and easily treated by nursing homes all the time: pneumonia, infections, swallowing problems, and dehydration, just to name a few.
They should be getting that care from the relative comfort of a familiar face in a familiar place.
Instead, they're being exploited in the name of cold, hard cash.
--
Hollecrest & Associates Inc -"Turnaround Consultants" .
Sunridge Lodge "Back to Eden" Quality 24/7 care
261 Oakhill Drive, Brantford backtoeden.ontario@gmail.com
"Building elder peer communities that are cozy,caring and comfortable" -
Brant Positive Action Group "a positive community affirmative action group"
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