How a Leading Chain of Psychiatric Hospitals Traps Patients

Re:How a Leading Chain of Psychiatric Hospitals Traps Patients by Spooky23 on Sunday September 01, 2024 @02:53PM (#41419301)

Unlike Medicare, which won’t pay for poor performance, Medicaid pays for services rendered, period. If you’re a shitty provider, there’s a calculus for when to bill Medicaid for a lower, guaranteed payment vs Medicare.

There’s a wide variety of shenanigans at the provider, managed care and state/county level. A big part of the performative shipping of migrants and poor people to northern states is all about shifting Medicaid expenses.

This happens often to mental patients, who often find themselves released from a police station or hospital, at a bus station with a ticket to NYC.

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Re:How a Leading Chain of Psychiatric Hospitals Traps Patients by nobody9999 on Sunday September 01, 2024 @06:02PM (#41420780)

>Unlike Medicare, which won’t pay for poor performance, Medicaid pays for services rendered, period.

I don't believe that's true. Do you have any evidence for this?

I have never heard of anyone challenging a Medicare reimbursement for "poor performance." In fact, billing codes often don't make a whole lot of sense, yet are approved without question just because the billing code exists.

What's more, Medicare and Medicaid fraud are often perpetrated[0] by the same folks without and done in exactly the same way.

[0] https://www.cnbc.com/2023/03/09/how-medicare-and-medicaid-fr...

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Re:How a Leading Chain of Psychiatric Hospitals Traps Patients by Spooky23 on Monday September 02, 2024 @03:48PM (#41428259)

https://bmchealthservres.biomedcentral.com/articles/10.1186/...

The most common way they do this is with hospital re-admissions. The hospital eats the cost, which is often because of poor hygiene and nursing practices.

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