Who Controls Healthcare in the U.S. Today? Essay

569 WordsMay 6, 20133 Pages
Medicare nonpayment for medical errors The cost is high when medical errors occur. Many of these errors could have been prevented. “Adverse event” is a term use to describe the damage caused to a patient as an outcome of health care, like an infection caused by the insertion of a catheter. “Never events” is a term that describes events such as surgical procedure to the wrong person. Medical errors could take a patient’s life, affect their health and waste taxpayers dollars. Medicare and Medicaid Service Centers state that both Adverse and Never events is not willing to keep paying for treatment that needed to correct the causes of such events in which the hospitals are responsible for (Peter & Buerhaus, 2008). Costs of medical errors Medicare is a federal program, administered by the U. S. Federal Government for Americans ages 65 and older and for people with disabilities (Shi &Singh, 2008). Medicare denies paying health care providers and hospitals for services that result from medical errors or injuries acquired while under hospital care. The cost estimated of health care related to medical errors and temporary harm events is $324 million (Peter & Buerhaus, 2008). According to Medicare, savings from a non-payment for medical errors is relatively modest, with saving estimated in $35 million in the following five years (Fitzgerald, 2008). Implications for healthcare organizations Hospitals are striving to improve patient safety by making it the main focus of most of the Medicare polices. It is a daily challenge for healthcare managers to analyze the root cause of Never and Adverse events and to make sure they will not happen again. Medicare “No-pay” policies face additional challenges for health care managers that include contracting, coding, and administrative issues (McCranie, 2010). For local hospital associations the path

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