Tag: Hospital Readmission

Obamacare’s Readmission Reduction Program is Quite Literally Deadly

By Dane Larsen | @therealdanelars

The so-called raging success and/or failure, depending on who you ask, of the Affordable Care Act passed by President Barack Obama is often stated as such without question in right-leaning and left-leaning echo chambers of the politisphere. The right has deemed it as a colossal deficiency or a strain on the United States, while the left has deemed it a progressive triumph for the very same country.

It goes without saying that all government operations have their fair share of faults, but the Affordable Care Act included a section beyond the normal text and into the fine print that, when implemented correctly, achieved what it set out for, but caused a reaction that any intellectual could have foreseen from a mile away.

The Hospital Readmission Reduction Program portion of our country’s healthcare alteration allowed the government to levy penalties on companies offering Obamacare policies who’s readmission rates soared after the passing of the ACA. A patient who is readmitted, classified as someone who is granted assistance within 30 days of the previous discharge of that very same hospital, will be denied service.

If the service is not denied and the company performs the necessary treatment, the federal government penalized said companies to an unaffordable degree. In just one year after the passing of this amendment, the New York City Presbyterian Hospital lost $1 million after readmitting patients with heart attacks, congestive heart failure, and lung infections.

This particular example is indicative of the ACA hitting the bull’s eye of the wrong target. While readmission rates have decreased, a clear correlation of mortality rates of citizens relying on Obamacare has increased at a troubling rate. Post-discharged patients with pneumonia and heart failure mortality rates steadily increased in the cited investigation monitoring patients over periods of time after admission. Death rates of those who were denied service raised “0.27% from period 1 to period 2”, then “0.49% from period 2 to period 3”, and finally “0.52% from period 3 to period 4”.

This is not to dismiss the successes of Obamacare, as to do so would be ignorant and refusing to acknowledge that the DNC has done something noteworthy in the past 5 years since the ACA’s passing. The uninsured rate declined from 17.3% in 2013 to 10.8% midway through the year of 2016, reported by a Gallup study. The decrease in the previously stated statistic rations out to roughly one million more people insured that the top 3 cities in the US combined (NYC, Los Angeles, and Chicago). However, with that being said, nothing is ever perfect, most certainly when it comes to government-run entities and programs. When the effects of such mishap result in easily-preventable deaths, feedback and outcry of the public is necessary to demand change in Washington.


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