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View Diary: Dangerous conditions & silenced nurses at Frist owned HCA hospital (127 comments)

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  •  Maybe the hospitals should (1+ / 0-)
    Recommended by:

    be paid:

    1. a daily capital charge
    1. a daily management charge defined by law
    1. a nursing charge based on local average RN and nurses aide hourly earnings and the number of hours actually worked during the day in the patient's area that would be allocated by patient

    Hospitals are often paid a fixed amount so they have a great incentive to shortchange patients on nursing care.

    •  paying the doctors' offices a fixed amount (0+ / 0-)

      was the original idea behind HMOs, too, back in the mid-80s, only it wasn't supposed to be in order that money could be made on the short-cuts.

      The advantages with those plans for the patient were supposed to be no deductible, and no percentage to pay, in fact I don't know if "co-pay" was even a word before that. Instead, American healthcare has broken it's back sliding down that slippery slope.

      ...learn something new every day...

      by nhwriter on Wed May 31, 2006 at 01:55:03 PM PDT

      [ Parent ]

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