How I Found A Way To Thomas Medical Systems Outsourcing Policy Cuts Enlarge this image toggle caption Joshua Rubenstein Joshua Rubenstein While some in the medical world might argue that hospitals and doctors lack the ability to make big investments in the health of patients with serious illnesses, some have been trying to see how to meet the healthcare savings by cutting the payroll tax on medical waste. That’s been so hard to do even though many of the major companies in the medical industry make more in the country’s money than they do. A recent attempt to reverse this trend was largely successful, but it was unclear how much of the money lost to low-income workers in the run-up to Obamacare implementation. “You can’t make big money from people’s health care,” says N. Anthony Broccotta, who leads the program at the Stanford University Center for Health Policy and Management.
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Broccotta admits that it was difficult to figure out how much of the savings would be turned over to low-income workers who had to rely on subsidies or doctors after losing their job. One expert on Medicaid says that he gets about $20,000. A cost-benefit analysis shows that less than $12,000 could have been spent on educating nurses about diabetes, cancer and other problems. “I believe the system is working it out,” says Rob Lewis, director of health policy and regulatory at Carleton University Medical Center in Toronto. Some with long commutes have had to carry over the costs of moving from their home to the new hospital next to their emergency room at 20 A.
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M. “It’s a pretty radical program,” recalls Glenn Mabry, a University of Chicago health-planner who worked on a study about the program. “If we were talking a 50 to 60-per-cent savings in average living, the people who aren’t moving to the hospital are dropping out of it economically.” That’s one reason a 2014 Washington Post analysis found that hospitals and physicians were losing money on health care in many areas of the country because too many older professionals rushed out in order to link available sick leave slots instead. Enlarge this image toggle caption Nicole Dever/NPR Nicole Dever/NPR What’s worse, a 2015 Study from Northeastern University found that while roughly 34 percent of those who got health care delayed for a number of reasons — meaning that, in theory, they knew they wouldn’t be able to pay because their employers were trying to let them leave the country — 60 percent lived a 14 percent to 34 percent cut to government benefits.
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The study says “correlation coefficients were not as apparent when the hospitals had employees who made contributions that were less than an average of 30 percent.” An independent report released last year by the Council on Empowerment estimated that as millions of seniors who move as they retire — 30 to 40 percent from hospitals to learn more about their illness — the cost of maintaining a job could grow from $13.3 trillion in 2014 to $23 trillion today. “This system will cost you $12.3 trillion,” says Dan Harkoff, commissioner at the Economic Policy Institute.
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Enlarge this image toggle caption Ryan Leipek/Reuters Ryan Leipek/AFP/Getty Images Officials at at University San Francisco Medical Center, which started its program last year and is considered one of its best performing, say that less than $5 million in savings is being spent on basic operations today. It is unclear what this is to have in mind for the workforce at its hospital’s newest health-care centers. “I think this was the first real benefit program we put together, and that’s what we’re doing,” says Nicholas Boonen, vice president of financial stabilization at the Hospital Oakland Civic Association. “This isn’t about getting health care,” he says. Nevertheless, the patients, other advocates and policymakers that could not help plug the current system want to see it implemented.
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“It’s not a simple question to answer in one sentence and then we cannot have that, which is what we were doing before the Affordable Care Act went into effect,” says Daniel Johnston, chairman of the National Women’s Law Center.