„High-Markup“ -Heisenkrankenhäuser sind überwiegend gewinnorientiert, in großen Metropolen und haben die schlimmsten Patientenergebnisse. Einige Einrichtungen im Besitz von Investoren berechnen bis zum 17-fachen der tatsächlichen Pflegekosten. Mit anderen Worten: Die teuersten Krankenhäuser waren häufig die niedrigsten Krankenhäuser.
https://www.uclahealth.org/news/release/high-markup-hospitals-are-overwhelmingly-profit-located
9 Kommentare
I’ve linked to the press release in the post above. In this comment, for those interested, here’s the link to the peer reviewed journal article:
https://jamanetwork.com/journals/jamasurgery/article-abstract/2839141
From the linked article:
**“High-markup” hospitals are overwhelmingly for-profit, located in large metropolitan areas and have the worst patient outcomes**
**Some investor-owned institutions charge up to 17 times the actual cost of care**, compared with an average threefold markup at other hospitals
These “high-markup hospitals” (HMH), which comprised about 10% of the total the researchers examined, charged up to 17 times the true cost of care. By contrast, markups at other hospitals were an average of three times the cost of care.
The findings are published in the peer-reviewed JAMA Surgery
Higher prices do not translate to higher quality or better care, she said. “In fact, patients at the highest markup hospitals faced greater complications and readmission rates. This raises concerns about fairness, transparency, and accountability in the health care system, particularly in the current era of value-based care.”
They found that the high-markup patients had about 45% greater odds of developing cardiac, respiratory, infectious, or kidney complications. They also faced a 33% greater risk of being readmitted for a non-elective reason within 30 days of their initial treatment.
Of particular significance, the study links pricing data to patient outcomes, Sakowitz said.
“Patients treated at these high-markup hospitals didn’t experience better outcomes; in fact, they often did worse,” she said. “**In other words: the most expensive hospitals were frequently the lowest-value hospitals**.”
Seems like there’s a pretty simple fix here: we could simply say that all medical care that’s paid for through the exchanges is reimbursed at Medicare levels.
We’ve declared a few healthcare emergencies in this country illegal profiteering should fall under one of those. RICO the profits seize the assets and give both to reputable organizations that put health of patients before profits
Sure, they’re the „lowest-value hospitals“, but at the same time, the highest for shareholder value.
>Hi everybody! I’m Dr. Nick, and I’ll do any operation you want for just $49.95!
– The Simpsons
How do we know which hospitals are „high markup?“
To be fair at least they have a hospital. Seems that the plan is to remove rural hospitals and collect the patients in the cities for treatment good or bad.
As all Americans know, you gotta negotiate the price while the surgery is going on. Threaten to die unless you get a market price. Threaten to live unless you get a discount. Be loud online with a GoFundMe and get the best care available minus the contingency fee to your attorney. Best most advanced healthcare on earth.
I hate to be this way but anybody with two eyes that’s been living in America for the past 30 years could tell you that. It’s a parody of itself. It’s criminal. Between the hospitals and the insurance companies they should both be brought up on Rico charges.
Just remember in healthcare research
value = outcome/cost
so by definition low value is poor outcome/ large cost