Researchers found that the 30-day readmission rate (adjusted for patient risk) declined to 18.4% from 20% after the penalties were introduced. Yet the 30-day mortality rate increased to 8.6% from 7.2% -- about 5,400 additional deaths per year. Over a one-year period the readmission rate fell by 0.9 percentage points while the mortality rate rose by five. In other words, while fewer patients were being readmitted, many more were dying.
Unintended consequences.... Central planning can't control, much less understand incentives
Talk about your big steaming pile of --------.
#1 | Posted by PinchALoaf
Sounds like Andrea's favorite breakfast.
Translation: We can't be certain of the cause and you can be damn sure we aren't going to look into it but we are going to blame Obamacare.
Do the digital spankings you take here fulfill that fetish you have? Do you post wearing diapers perchance?
Better surgical techniques lower readmissions, while hospital acquired infections and patient co-morbidities increase mortality rates.
Finding all the causes should be easy by doing a difference of differences analysis between Medicaid expansion and other states, and comparing to Canadian stats to control for technique improvements.
Do the digital spankings you take here fulfill that fetish you have?
#4 | Posted by jpw
Some get a dopamine rush for each "like".
Andrea probably gets a dopamine rush for each "dislike".
Less beds. Less staff. More administrative staff required to comply with more regulations. Lower reimbursement rates. Less physicians available. Even fewer if you require them to speak English. Boutique hospitals allowed to take the for profit patients and while the Tier 1 hospitals are still required to take everyone whether they can pay their bills or not. Insurance costs through the roof. No incentive, only liability, to maintain a trauma center. And did I mention reimbursement rates? And the problem that Obamacare was supposed to eliminate (ERs and hospitals being used for primary care) has doubled.
"More administrative staff required to comply with more regulations."
Regulations? Riiight!!! More like insurance claims. Medicare for all and we can lose about 90% of the administrative staff just like they did in Canada.
"Boutique hospitals allowed to take the for profit patients and while the Tier 1 hospitals are still required to take everyone whether they can pay their bills or not."
Right-wingers like it that way.
That's a feature, not a bug.
The authors can read stats, they just can't seem to interpret them.
"More people can finally get to see a doctor. Some have been waiting too long."
Excellent point, and at the heart of the matter: those finally covered under Obamacare had a lot of pent-up demand. Actuaries and experts expected a rush at the start, for several years. Macro teaches the mortality rate would naturally rise: older, sicker folks have a greater proclivity to get coverage. It's called "adverse selection".
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