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US health insurance craziness pt 23,592

Hospital patient status: observation vs. inpatient


If you're on Medicare, nursing home costs following a hospital stay are covered if you are "admitted" to the hospital, but are not covered if you are in the hospital for "observation."

The first comment on the article, by one Edwin Bradley MD, states "In general the care one receives in 'observation' is not as good as in the fully staffed hospital bed." I wonder if that is true generally.

This entry was originally posted at http://firecat.dreamwidth.org/712229.html, where there are comment count unavailable comments.


( 5 comments — Leave a comment )
Apr. 13th, 2011 08:43 pm (UTC)
I haven't read the article, but I can tell you this:

15 years ago, I spent 3 days in the hospital for "observation." On the psych ward, yes. I got exactly zero care other than one visit with my shrink, meals and a bed. And I had to ask for keys to the shower just like the "regular" patients. But they all had group therapy, art therapy, individual sessions with their doctors, and so on.

However, I don't think Medicare should discriminate among types of hospital admission when covering any kind of care. It's ridiculous.
Apr. 14th, 2011 01:34 am (UTC)
I purposely had a one-night observation when I got my vocal cords operated on. It was cheaper for me, Kaiser, and Medicare.
Apr. 15th, 2011 04:10 pm (UTC)
We had to fight the desire of hospitals and Medicare to admit for "observation" on multiple occasions with my father because of the not eligible for Medicare covered rehab without a three-day non-observation stay. They also do not count or report certain things that occur during observation the same way they would be required to if a patient is admitted under care. Ultimate irony: in the CCU, and told it was observation. Um, no. Really, just no.
Apr. 15th, 2011 05:29 pm (UTC)
in the CCU, and told it was observation.

OH HAI, here we are observing all the gases and liquids going in and out of this person's body by means of tubes. But we're ONLY OBSERVING!

(I hope you don't mind my being a little silly about what sounds like a horrible experience.)
Apr. 19th, 2011 03:31 am (UTC)
Linketies (with a lot of online resources for nature-identification)
User moominmuppet referenced to your post from Linketies (with a lot of online resources for nature-identification) saying: [...] our whole fucked up pharmaceutical industry/FDA dynamic. US health insurance craziness pt 23,592 [...]
( 5 comments — Leave a comment )

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