Serving the best interests of patients while remaining financially solvent is a high-wire act. Ethicists can help clarify a hospital’s obligations to Medicaid patients, including policies relating to admission criteria, such as for patients with inadequate funding. These policies also can clear up confusion over ethical and legal obligations to Medicaid patients who present with emergencies.
More “near older” patients (age 50 to 64 years) with chronic health conditions are putting off needed care they cannot afford. Researchers found lack of coverage is a particular problem for this group, which lives with more chronic health conditions than younger groups, but is not old enough for Medicare. Their income, especially for those who still work part or full time, is too high to qualify for Medicaid.
Lower-income workers also are more susceptible to severe illness
August 20, 2020
Nursing homes with higher rates of complaints and deficiencies had more reported COVID-19 cases, according to a “snapshot” study of nursing homes that reported cases in late April 2020. The research, published July 29, 2020, on JAMA Network Open, also found that COVID-19 rates were significantly higher in counties where facilities had cases, showing how community spread affects local nursing homes.
The Department of Health and Human Services is distributing $175 billion to hospitals and healthcare providers to compensate for their coronavirus response. Through the Provider Relief Funds, $50 billion is allocated proportional to providers’ share of 2018 net patient revenue.
Medicaid claims data among a North Carolina cohort show that women were less likely to fill a contraceptive claim within 90 days after preterm birth. Investigators theorized it would be harder for women to access contraception after a preterm birth because they would be caring for a medically fragile infant. Also, women who deliver preterm experience shorter pregnancies, which means there is less time for a conversation with their healthcare providers about contraception.
Physician practices and even hospitals sometimes make the mistake of putting off decisions on record retention until they think it is time to clear out a storage facility or reduce their data storage expenses. A better approach is to determine how long certain records should be kept and then establish a destruction date.