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Re: ?? C-Sections to 'Boost Hospital Profits' From: D. Ashley Hill, MD (noemails@home.please) Fri Apr 6 22:24:52 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Paul Prior MD: "Re: dilated ovarian veins" Previous message: Myer S. Bornstein, MD, MMM, CPE, FACOG: "Re: malpractice -- tail coverage" In reply to: Marilyn Ringst: "?? C-Sections to 'Boost Hospital Profits'" Next in thread: Geffrey Klein, MD: "Re: ?? C-Sections to 'Boost Hospital Profits'" Reply: Geffrey Klein, MD: "Re: ?? C-Sections to 'Boost Hospital Profits'" At Fri, 06 Apr 2001, Marilyn Ringst wrote: > >Physician Refutes Study That Says Doctors Perform C-Sections to 'Boost >Hospital Profits' > > A "leading" Colorado physician has disputed a study reporting that "doctors >feel pressured to perform more Caesarean sections to boost hospital >profits," That's a bizarre allegation, for (at least) the following three reasons: 1. Hospitals seem to do less and less for doctors, and in some cases directly compete against them, so doctors are not going to be inclined to help hospitals, especially by participating in unethical behavior. 2. In our area most HMOs pay doctors the same, or close to it, for a vaginal delivery vs a cesarean delivery. 3. I would suggest that hospitals make *less* for cesarean deliveries, since they are more labor-intensive, use more equipment, and lead to longer hospital stays. HMOs do not pay a la carte, but rather by the diagnosis codes and procedure performed. If a patient with a c/section stayed 10 days, the hospital generally got the same reimbursement if she stayed three. Thanks, Ashley -- David Ashley Hill, MD Associate Director Department of Obstetrics and Gynecology Florida Hospital Family Practice Residency Orlando, Florida The above is general medical information, and should not be construed as specific treatment advice. Due to time constraints, I am unable to answer individual emails. Thank you. Next message: Paul Prior MD: "Re: dilated ovarian veins" Previous message: Myer S. Bornstein, MD, MMM, CPE, FACOG: "Re: malpractice -- tail coverage" In reply to: Marilyn Ringst: "?? C-Sections to 'Boost Hospital Profits'" Next in thread: Geffrey Klein, MD: "Re: ?? C-Sections to 'Boost Hospital Profits'" Reply: Geffrey Klein, MD: "Re: ?? C-Sections to 'Boost Hospital Profits'"

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