Monday, December 24, 2012

Medicare: Santa/Grinch for Area Hospitals

Which San Angelo hospitals have been naughty or nice, according the the Center for Medicare/Medicaid Services (CMS)?

Medicare published a list of hospitals receiving bonuses or penalties from two extrinsic motivation programs, Value Based Purchasing and Hospital Readmissions.

Shannon Medical Center gets a .22% bonus, while San Angelo Community Medical Center receives an extra .15% under the Value Based Purchasing initiative.

The Readmissions program only issues penalties.  Shannon avoided this lump of coal, but SACMC was awarded a .38% Medicare penalty.

Overall, CMS Santa left Shannon a .22%  increases in Medicare payments, while Community received a -.23% lump of coal.

Medicare Grinch or Santa?

Ginch--Your soul is an appalling dump heap overflowing with the most disgraceful assortment of deplorable rubbish imaginable, Mangled up in tangled up knots.

Santa--But I heard him exclaim, ‘ere he drove out of sight, "Happy Christmas to all, and to all a good-night!"

It's the sharpened blade of reward/punishment.  Medicare wants the public to believe it's rewarding good providers.  If that's the case, why would all these "bonuses" add up to an average .15% payment reduction across all Texas hospitals.  The aim is Grinch-like, to save money. 

Unfortunately, it gets worse.  Next up is 30% of hospitals cheating to get the reward.  That's the rate CEO's backdated stock options to maximize their income.  Surely, doctors and nurses are as smart as corporate executives.

1 comment:

Buffalo said...

It is not up to the medical staff. It is in the control of hospital non-medical administration who have to keep the hospital running.

Plus the Tea Partiers in the Texas Legislature have lost federal funding by imposing their “morals” on everyone.