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Pennsylvania hospitals' association shows rules of free care



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  #1  
Old Aug 03, 2004, 06:21 PM
NRSKarenRN's Avatar
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Join Date: Oct 2000
Pennsylvania hospitals' association shows rules of free care

Pennsylvania hospitals' association shows rules of free care
Reacting to a barrage of lawsuits filed against healthcare institutions across the nation the Hospital and Healthsystem Association of Pennsylvania is publishing guidelines to help hospitals fulfill their obligations to provide charitable care.

Pittsburgh Post-Gazette, July 28, 2004

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  #2  
Old Aug 04, 2004, 02:03 AM
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Join Date: May 2002

That lawsuit against TJUH ticks me off. That hospital probably shells out for more freebee care and absorbs the costs of more indigent care than any other that I have seen. The ER gets abused routinely by patients that come in, go AMA for a meet with their drug connection/date and come back in to the ER hours later, just to be admitted and go AMA again.

And they wonder why no MDs want to practice in PA and why insurance rates are so high.

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  #3  
Old Aug 04, 2004, 05:26 AM
magicman's Avatar
magicman (Male)
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Join Date: Mar 2002
Question

Forgive me, but what is "TJUH"? I live in Florida and don't know the health systems in Pa.

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  #4  
Old Aug 04, 2004, 07:21 AM
NRSKarenRN's Avatar
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"Lawsuits around the country have accused hospitals of violating their tax-exempt status, which obliges them to serve charitable needs, not only by billing the full costs of care to patients who had too little income to pay for it, but also for using aggressive tactics to collect unpaid debts from poor patients. Most of the 39 suits, filed in 20 states against some 340 nonprofit health care institutions, including Philadelphia's Jefferson Health System, have been brought by a team of plaintiffs' attorneys led by Richard Scruggs, a Mississippi trial lawyer known nationally for a series of suits he earlier brought against tobacco companies."

TJUH = Thomas Jefferson University Hospital; the driving force behind Jefferson Health system

Agree with you Caroladybelle: TJUH, HUP (Hsp of Univ. of Pennsylvania) and Mercy Health System hospitals absorb the brunt of charitable care in the Philadelphia area due to no public hospitals.


Last edited by NRSKarenRN : Aug 04, 2004 at 07:25 AM.
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  #5  
Old Aug 04, 2004, 07:47 AM
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Originally Posted by caroladybelle
That lawsuit against TJUH ticks me off...
Is the suit legit? That's the question.

If not, then it should be dismissed.

If it is, then there should be consequences, no?

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  #6  
Old Aug 05, 2004, 04:04 AM
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Join Date: May 2002

Originally Posted by LarryG
Is the suit legit? That's the question.

If not, then it should be dismissed.

If it is, then there should be consequences, no?
I doubt that it would be anymore "legit" than any other hospital.

TJUH probably gives away more charity care than I have seen anywhere.

Mercy does a good portion.(PS Karen, I hope that all is well there - I heard that St. Agnes is closing?)

HUP, well I would hedge a bit. Probably in peds, they take alot of losses.

The problem is people see "Nonprofit" as cheap or free. In the Philadelphia, the other major players are "Forprofits" and they scoop up the paying patients and bump the nonpaying cases to others. I personally saw cases that inadequate care was rendered to noninsured patients and then they were bumped to Nonprofits to clean up and do the expensive fixup work.

There is a major "Forprofit" group in Philly that plays alot of bait and switch. They lowball cases and transfer them to other facilities, that find the patient much different than described. PS they also bait and switch employees/travelers. They hired on alot of cardiac nurses, overstaffing the ICU/tele/cardiac units. They then float them all over the hospital, to neuro/ortho/renal/MS. The hospital does these, becuase no one will apply for their MS positions, the work is so heavy.

The point is TJUH and the others deserve to get paid for care that they render. An ORIF is an ORIF, no matter whether it is done on a poor person or a rich person, whether it is in a Nonprofit or a Forprofit. They have right to at least recoup what they can of expenses, by whatever normal legal means that they can. Otherwise they close their doors and the poor get their care from the Forprofit, that will use collection agencies, etc. to collect. Or bump them to the street until they are critically ill or die. The poor will not get the preventative care that they need and come in sicker and more expensive to care for.

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  #7  
Old Aug 05, 2004, 08:43 AM
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Originally Posted by caroladybelle
I doubt that it would be anymore "legit" than any other hospital...
Sounds like "everybody does it." But maybe I'm misinterpretting the above.

Lemme try another simpler, more direct question: Did Jeff break the law?

Only asking cause that's the way a judge would be required to look at it.

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  #8  
Old Aug 06, 2004, 12:47 PM
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Join Date: Jun 2003
Smile Hmmnn, caroladybelle this is more addressed to you

I thought Temple University Hospital was a major player in Phili ?

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