Question on heart care facilities in MS …

[grimedawg1]

Yep!

If tobacco taxes in MS were funding any state match for CHIPS, the fact those taxes went down has nothing to do with the fact that the federal government did not reneg or reduce its funding of the federal portion of CHIPS. This does not support an argument that the feds will pull funding or reduce the match to the state.

Here's a little about CHIP:

History and impact of CHIP : MACPAC

CHIP was created as part of the Balanced Budget Act of 1997 (BBA 97, P.L. 105-33). To encourage states to participate, CHIP provided states with enhanced

www.macpac.gov

 

[MSUGUY]

Ruleville hospital and "providers"....
Only critical access hospitals are paid in this manner. And, none are "flush" with cash.
Payments cuts were put in law with the anticipation that unreimbursed costs for uninsured would go down with expansion of medicaid. And, there is not anything near a 10% rate cut for 2023. Through republican and democratic control, these scheduled cuts have not taken effect. You can also google this.
And, the reduction would be in medicare, not medicaid. The feds would have to change the match rate to the state to reduce it's funding. There is no such proposal out there that affects medicaid.

My point in Ruleville is that it’s paid more by the government entities therefore it is doing well. Have you ever heard of a hospital stipends for doctors or healthcare employing doctors?
For my specialty 10% cut, medicaid for my specialty and most sets its rate at 90% of Medicare. The reductions were part of the Obamacare plan to make it solvent is my understanding.
Are you ok with cutting” health care heroes” payments ?

10% total cut:

American Society of Anesthesiologists Urges Congress to Act to Fix Broken Medicare Payment System

The American Society of Anesthesiologists (ASA) announced it has provided no-nonsense solutions to members of the U.S. House of Representatives, on behalf of the Society’s 56,000 members, outlining ways to fix the broken Medicare physician payment system and improve the Quality Payment Program.

www.asahq.org

 

[MSUGUY]

If tobacco taxes in MS were funding any state match for CHIPS, the fact those taxes went down has nothing to do with the fact that the federal government did not reneg or reduce its funding of the federal portion of CHIPS. This does not support an argument that the feds will pull funding or reduce the match to the state.

Here's a little about CHIP:

History and impact of CHIP : MACPAC

CHIP was created as part of the Balanced Budget Act of 1997 (BBA 97, P.L. 105-33). To encourage states to participate, CHIP provided states with enhanced

www.macpac.gov

Chips payments are a third of what they were when the program started. They are paid at Medicaid rates, not good.

 

[Eleven Bravo]

My understanding is that Mrs. Sharon found Coach unresponsive at their home. She called 911 and when the EMT’s arrived they found her frantically trying to do CPR on him. It hasn’t been stated how long he may have been there before she found him. It doesn’t take very long after a heart attack for brain damage (due to a lack of oxygen to the brain) to occur. If he had been there for 20-30 minutes before she found him then his fate was already sealed. I know they live northeast of Starkville somewhere off Old West Point Road. It would have taken the ambulance probably 10 minutes to get there after the call came in. Coach likely didn’t have any chance at recovery by the time they got there. If he hadn’t been Mike Leach it’s doubtful to me that they would have even fired that helicopter up. They were just trying to make sure that everything that could have been done for him was done. A very small percentage of people who have a massive heart attack at home in a rural area will live to tell about it. The few who do have witnesses who realize they are having a heart attack and are able to keep them breathing and their hearts beating until they can get EMT’s on scene quickly. My Daddy died at home from a heart attack. My Mama (an RN with over 40 years experience) was right there with him and she couldn’t save him. Mama was an expert at CPR and she tried and tried to save him to no avail. Daddy’s face turned gray within a minute. Only God himself could have saved him at that point.

 

[L4Dawg]

The federal government is not going to leave the state "hanging" on the program where 42 states have already opted in to avoid problems just like lack of access in rural areas. Most of the country is pretty rural still. This is not some scheme beyond the already ridiculous healthcare reimbursement system we already are stuck with.

LOL, they do it all the time. Your faith in government is touching. I've been around too long to have any.

 

[grimedawg1]

Chips payments are a third of what they were when the program started. They are paid at Medicaid rates, not good.

That just can't possibly be true. 67% lower than they were 25 years ago?

 

[L4Dawg]

That just can't possibly be true. 67% lower than they were 25 years ago?

They pay at Medicaid rates.

 

[MSUGUY]

That just can't possibly be true. 67% lower than they were 25 years ago?

Last post for me grime, hail state to you on this sad day.
For me chps is, initially chps paid at UHC private insurance rates now pegged to Medicaid. That’s a third of private insurance rates. Do you see the problem with Medicaid Medicare, it’s not paying for what it should unfortunately.

 

[grimedawg1]

My point in Ruleville is that it’s paid more by the government entities therefore it is doing well. Have you ever heard of a hospital stipends for doctors or healthcare employing doctors?
For my specialty 10% cut, medicaid for my specialty and most sets its rate at 90% of Medicare. The reductions were part of the Obamacare plan to make it solvent is my understanding.
Are you ok with cutting” health care heroes” payments ?

10% total cut:

American Society of Anesthesiologists Urges Congress to Act to Fix Broken Medicare Payment System

The American Society of Anesthesiologists (ASA) announced it has provided no-nonsense solutions to members of the U.S. House of Representatives, on behalf of the Society’s 56,000 members, outlining ways to fix the broken Medicare physician payment system and improve the Quality Payment Program.

www.asahq.org

Yes, I am aware that hospitals employ docs. They are typically paid on RVUs.
Your article is for one subset of providers.
Are you a provider? Is your perspective that of an employee or staff doc? Lots of employees think the man is made of money and want more of it.

 

[Ibdancin]

I'm going to say this. We know none of the time line except for his heart attack happened in the AM, They stabilized him, but due to weather could not transport him to Jackson for hours... arrived at 4 pm.

Raising questions based on that may not be fair, however it does make you think on why they did not drive him to Columbus or even Tupelo. It's an hour drive to Tupelo by car at speed limits.

 

[squintdawg]

Why is the critical access hospital in Ruleville thriving? There’s been no expansion of Medicaid there. Medicaid and Medicare have terribly low rates of reimbursement therefore increasing low money losing reimbursement will not help much. As a critical access hospital/area Ruleville benefits from increased Medicare and I assume higher Medicaid rates for providers. The issue as you said is we decided to insure a lot more people but the real issue is the insurance sucks if you are a provider or hospital. The government needs to raise payments. By the way Medicare and Medicaid have scheduled a 10% payments cut to providers(healthcare heroes) in 2023.

It can be complicated, but the 2 main reasons that hospital is likely thriving is that the Critical Access Hospital designation allows that hospital to get reimbursement for the full costs of providing care for Medicare (and Medicaid) patients, as well as some additional cost reimbursement for uncompensated care. In other words - they are insulated from the main economic forces. The main next factor is that they likely have a good primary care base of physicians in that community who support the hospital. Many community hospitals fail simply due to lack of quality providers.

 

[Duke Humphrey]

Ruleville had good leadership who recognized that they had to change their delivery model about 10-15 years ago due to healthcare financing. They know they will not have a cath lab and many other specialist, but they can offer good primary care, triage and basic ER services (stiches, broken bones, etc), and stabilization practices to get patients to a bigger center.

 

[MSUGUY]

LOL, they do it all the time. Your faith in government is touching. I've been around too long to have any.

It can be complicated, but the 2 main reasons that hospital is likely thriving is that the Critical Access Hospital designation allows that hospital to get reimbursement for the full costs of providing care for Medicare (and Medicaid) patients, as well as some additional cost reimbursement for uncompensated care. In other words - they are insulated from the main economic forces. The main next factor is that they likely have a good primary care base of physicians in that community who support the hospital. Many community hospitals fail simply due to lack of quality providers.

That’s exactly my point, they get 130%+ of normal Medicare rates.