SolitaryMarmot t1_j1dli4z wrote on December 23, 2022 at 2:58 PM

Reply to comment by ripstep1 in ‘Major Trustee, Please Prioritize’: How NYU’s E.R. Favors the Rich by goodguyfdny

They can't find a SNF willing to take a Medicaid patient so they end up sitting in the hospital (years no...a couple months is normal, seriously LOS data is public information. ) Hospitals do the exact same thing. They find ways to prioritize non Medicaid patients, particularly private insurance patients the same way SNFs do. They aren't supposed to turn away Medicaid patients because they are on Medicaid but the massive disparities in payer mix mean that they find a way to do it. This is literally the system that has been created and allowed to perpetuate. The SNFs are doing the exact same thing the hospitals are doing and vice versa because they are rational actors.

And Payment Topology is also public information. You can look at the public all payer dataset on line. EMTALA isn't treatment, it's just stabilization. And outside women in labor, it's pretty rare. It's actually pretty rare for women in labor too. Because NY actually has a very low uninsured population. Our Medicaid program is pretty expansive here. But it only gets you access to 3rd class or maybe 2nd class treatment.

ripstep1 t1_j1drp0z wrote on December 23, 2022 at 3:42 PM

You act like this a conspiracy unique to NYU. Every hospital does everything possible to optimize their payer mix. Rural hospitals are failing left and right because their patients are shitty Medicaid payers. Then dems laugh because they didn’t graciously accept the Medicaid expansion.

We literally have a patient sitting in our ICU bed who has been here for 10 years. Not an exaggeration. Routinely common for SNF placement patients to sit here for months.

These patients are exploiting hospitals for millions and the government sits idly by since it’s the hospitals problem, not theirs. NYU has plenty of these patients.