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Re: ?? C-Sections to 'Boost Hospital Profits' From: D. Ashley Hill, MD (noemails@home.please) Sat Apr 7 15:16:08 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: ATB28@aol.com: "Re: ?? C-Sections to 'Boost Hospital Profits'" Previous message: Deborah J. Wage: "Re: ?? C-Sections to 'Boost Hospital Profits'" In reply to: jafar6: "Re: ?? C-Sections to 'Boost Hospital Profits'" Next in thread: art fougner, md: "Re: ?? C-Sections to 'Boost Hospital Profits'" At Sat, 07 Apr 2001, jafar6 wrote: >I have heard of administrators trying to decrease cesarean rates as part of >a quality improvement plan. I have also heard (the same and other) >administrators trying to make sure that cesareans are done in a timely >manner and when necessary. The latter has come up after bad outcomes are >presented at peer review. Gary- One of our local HMOs apparently got wind of the recent push to make c/sections a "patient choice" procedure. They allegedly told the hospitals that they will pay the same hospitalization rate for a vaginal delivery as for a c/section, so they don't care which way the baby delivers. I predict this will become more common. If this occurs, you can bet each hospital will quickly find out the relative cost of each procedure. In our area elective repeat c/sections are dramatically rising, whereas VBACs are decreasing. I believe it's due to patient knowledge about uterine rupture, the use of detailed (and frightening) informed consent statements, physician reluctance to stay in-house for trial of labor patients, and fear of litigation. We sure live in interesting times. 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: ATB28@aol.com: "Re: ?? C-Sections to 'Boost Hospital Profits'" Previous message: Deborah J. Wage: "Re: ?? C-Sections to 'Boost Hospital Profits'" In reply to: jafar6: "Re: ?? C-Sections to 'Boost Hospital Profits'" Next in thread: art fougner, md: "Re: ?? C-Sections to 'Boost Hospital Profits'"

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