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Re: ?? C-Sections to 'Boost Hospital Profits' From: Myer S. Bornstein, MD, MMM, CPE, FACOG (mborn@massmed.org) Sat Apr 7 05:52:05 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: D. Ashley Hill, MD: "Re: ?? C-Sections to 'Boost Hospital Profits'" Previous message: Geffrey Klein, MD: "Re: ?? C-Sections to 'Boost Hospital Profits'" In reply to: Geffrey Klein, MD: "Re: ?? C-Sections to 'Boost Hospital Profits'" Next in thread: D. Ashley Hill, MD: "Re: ?? C-Sections to 'Boost Hospital Profits'" Read the article in the NEJM re Section Vs VBAC it also addresses cost. It was the article by Figelleto and Sachs Myer -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net]On Behalf Of Geffrey Klein, MD Sent: Saturday, April 07, 2001 12:13 AM To: Multiple recipients of list OB-GYN-L Subject: Re: ?? C-Sections to 'Boost Hospital Profits' At 10:29 PM -0500 on 4/6/01, D. Ashley Hill, MD wrote: > >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. I have to agree that docs are not motivated to do sections based on non-medical concerns (except medicolegal, which is likely the biggest driving force).. However, that being said, an elective section may use 24 hrs more of a low acuity postpartum bed, but it will utilize significantly less time in a high acuity LDR. This may more than offset the increased cost of the procedure itself.. -- _______________________ Geffrey H. Klein, MD _______________________ geffrey.klein@obgyn.net 200 Medical Center Blvd Suite 103 Webster, TX 77598 (281) 332 6723 http://www.geffreyklein.com Next message: D. Ashley Hill, MD: "Re: ?? C-Sections to 'Boost Hospital Profits'" Previous message: Geffrey Klein, MD: "Re: ?? C-Sections to 'Boost Hospital Profits'" In reply to: Geffrey Klein, MD: "Re: ?? C-Sections to 'Boost Hospital Profits'" Next in thread: D. Ashley Hill, MD: "Re: ?? C-Sections to 'Boost Hospital Profits'"

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