Re: ?? C-Sections to 'Boost Hospital Profits'

From: ATB28@aol.com
Sat Apr 7 15:33:55 2001


In a message dated 04/06/2001 8:28:06 PM Pacific Daylight Time, noemails@home.please writes:

> >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
>

Ashley: Not bizarre. While most docs are paid the same irrespective of the type of delivery, hospitals are usually paid a per diem. And 4x is still > 2x,,, Allan





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