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The Water Cooler
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its crazy that covid is still going around.
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<blockquote data-quote="okcBob" data-source="post: 4318770" data-attributes="member: 45783"><p>No, hospitals didn’t get extra funding for a Covid related <em>death</em>. Also, Medicare did not make standard, one-size-fits-all payments to hospitals for patients admitted with COVID. Hospitals received a 20% enhanced payment for additional treatments related to Covid. It required a lab positive Covid test to be eligible & gave extra $ for Covid related treatments. This program ended last year I think, and was paid by the CARES act I believe.</p><p>BTW it’s not true that hospitals make more Medicare $, the longer the patient stays admitted. Payment is based on a case mix calculation (CMI) which can change during the hospitalization.</p><p>Hospitals also lose $ on Medicare admissions overall. They have to treat the whole patient admission based on that one lump sum, based on diagnosis & acuity formula (CMI, DRG, GMLOS). If the Medicare reimbursement for a Covid admission is 20k (which includes the 20% Covid payment) and the cost to the hospital to treat the patient is 19k, the hospital makes 1k on the admission. If the patient lingers on the vent in icu for weeks, no more $from Medicare to cover the cost .</p><p>This is why hospitals hire huge discharge planning departments whose goal is to discharge the patient as soon as the doc says the patient is medically ready for discharge. The longer the patient stays admitted, the more $ the hospital loses.</p></blockquote><p></p>
[QUOTE="okcBob, post: 4318770, member: 45783"] No, hospitals didn’t get extra funding for a Covid related [I]death[/I]. Also, Medicare did not make standard, one-size-fits-all payments to hospitals for patients admitted with COVID. Hospitals received a 20% enhanced payment for additional treatments related to Covid. It required a lab positive Covid test to be eligible & gave extra $ for Covid related treatments. This program ended last year I think, and was paid by the CARES act I believe. BTW it’s not true that hospitals make more Medicare $, the longer the patient stays admitted. Payment is based on a case mix calculation (CMI) which can change during the hospitalization. Hospitals also lose $ on Medicare admissions overall. They have to treat the whole patient admission based on that one lump sum, based on diagnosis & acuity formula (CMI, DRG, GMLOS). If the Medicare reimbursement for a Covid admission is 20k (which includes the 20% Covid payment) and the cost to the hospital to treat the patient is 19k, the hospital makes 1k on the admission. If the patient lingers on the vent in icu for weeks, no more $from Medicare to cover the cost . This is why hospitals hire huge discharge planning departments whose goal is to discharge the patient as soon as the doc says the patient is medically ready for discharge. The longer the patient stays admitted, the more $ the hospital loses. [/QUOTE]
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its crazy that covid is still going around.
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