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Started By
Message
BR General, Jindal administration reach deal to keep ER open
Posted on 8/27/14 at 3:39 pm
Posted on 8/27/14 at 3:39 pm
5
Posted on 8/27/14 at 4:12 pm to Rust Cohle
Is BR General a training hospital for Tulane?
Being a training hospital and branch campus has probably helped justify support. I think 3rd and 4th year students can do rotations out of the Baton Rouge campus.
Being a training hospital and branch campus has probably helped justify support. I think 3rd and 4th year students can do rotations out of the Baton Rouge campus.
This post was edited on 8/27/14 at 4:16 pm
Posted on 8/27/14 at 4:31 pm to member12
quote:
Is BR General a training hospital for Tulane?
Being a training hospital and branch campus has probably helped justify support. I think 3rd and 4th year students can do rotations out of the Baton Rouge campus.
yes it is a rotation site for Tulane as well as my school American University of the Caribbean
Posted on 8/27/14 at 4:36 pm to Rust Cohle
I guess its an unintended consequence of shutting down EKL. OLOL agreed to serve EKL's former patients but why go all the way to OLOL when General mid city is closer and the ER must treat you.
Posted on 8/27/14 at 4:41 pm to ThuperThumpin
quote:
I guess its an unintended consequence of shutting down EKL. OLOL agreed to serve EKL's former patients but why go all the way to OLOL when General mid city is closer and the ER must treat you.
They built a new urgent care facility a couple of blocks down Airline from EKL.
EKL patients can go there for treatment too.
Posted on 8/27/14 at 5:37 pm to Rust Cohle
Trying to simplify a very complex deal here.
LSU took over the old charity system years ago. The hospitals were losing tons of money. Then the state decides to privatize the LSU/Charity system in hopes of losing less money.
Two big privatization players were OLOL in BR and Children's in NOLA.
When OLOL agreed to be the teaching hospital for LSU, it did not specifically agree to be a charity hospital, but rather to be the hospital for LSU patients. That is a very specific difference. Thus, OLOL is responsible for LSU patients (provided it has capacity), but not for all "charity" patients.
As I understand the CEA for OLOL/LSU, OLOL receives 95% of medicare rates for its indigent patients (this is talked about a lot in meetings, but I am not sure exactly where the money flows, etc).
Also as I understand it, if you had 2 patients without health insurance, one goes to OLOL, the other goes to BRG, OLOL would get 95% of medicare, BRG would get whatever the patient could pay.
BRG has both Tulane and LSU residents within it. As a residency training hospital, BRG does get differential payments on medicare patients, but does not get specific payments for indigent care (until today it would seem).
LSU took over the old charity system years ago. The hospitals were losing tons of money. Then the state decides to privatize the LSU/Charity system in hopes of losing less money.
Two big privatization players were OLOL in BR and Children's in NOLA.
When OLOL agreed to be the teaching hospital for LSU, it did not specifically agree to be a charity hospital, but rather to be the hospital for LSU patients. That is a very specific difference. Thus, OLOL is responsible for LSU patients (provided it has capacity), but not for all "charity" patients.
As I understand the CEA for OLOL/LSU, OLOL receives 95% of medicare rates for its indigent patients (this is talked about a lot in meetings, but I am not sure exactly where the money flows, etc).
Also as I understand it, if you had 2 patients without health insurance, one goes to OLOL, the other goes to BRG, OLOL would get 95% of medicare, BRG would get whatever the patient could pay.
BRG has both Tulane and LSU residents within it. As a residency training hospital, BRG does get differential payments on medicare patients, but does not get specific payments for indigent care (until today it would seem).
Posted on 8/27/14 at 7:50 pm to ccdrlsu
quote:
BRG has both Tulane and LSU residents within it
splitting hairs here but once they are residents they are LSU, Toolame, or any other schools anymore. BRG has a good reputation as a rotation site for IM at my school.
quote:
When OLOL agreed to be the teaching hospital for LSU, it did not specifically agree to be a charity hospital, but rather to be the hospital for LSU patients. That is a very specific difference. Thus, OLOL is responsible for LSU patients (provided it has capacity), but not for all "charity" patients.
I think the problem has to do more with the fact of location than payment. Why would a north BR person without insurance go all the way to OLOL when they could just stop at BRG?
Posted on 8/27/14 at 7:54 pm to WeeWee
You hit the nail on the head. The Lake is a longer drive from the poorest parts of town than Mid City. BRG is probably getting a lot of uninsured patients, and probably a lot of serious trauma type of patients that EKL used to handle routinely.
This post was edited on 8/27/14 at 7:58 pm
Posted on 8/27/14 at 9:43 pm to member12
So, the obvious solution is have the reimbursement follow the patient, not the hospital. Right? It just seems surrounding hospitals would have made provisions for this to happen.
Posted on 8/27/14 at 11:46 pm to Rust Cohle
The Lake is a longer BUS RIDE from the poorest parts of town than Mid City
Posted on 8/28/14 at 6:51 am to ThuperThumpin
quote:
I guess its an unintended consequence of shutting down EKL. OLOL agreed to serve EKL's former patients but why go all the way to OLOL when General mid city is closer and the ER must treat you.
This outcome was glaringly obvious to anyone that lives in Baton rouge and has half a brain. Just another example of Piyush screwing the pooch to pad his record trying to look good on the national scene in his run for the White House.
Posted on 8/28/14 at 9:54 am to member12
But wait....I don't understand...shouldn't everybody be insured now?
Posted on 8/28/14 at 9:56 am to bradybones24
I thought that as soon as the obamacare deadline hit that all of our healthcare problems would go away? I guess I was just naive.
Posted on 8/28/14 at 10:01 am to bradybones24
quote:
I thought that as soon as the obamacare deadline hit that all of our healthcare problems would go away? I guess I was just naive
Those under 128% of the poverty line without kids still don't have insurance. That is what the medicaid expansion would have covered.
And I am not sure the "no insurance tax/penalty" applies to those below a certain income (though I could be wrong).
Posted on 8/28/14 at 10:02 am to Rust Cohle
Brg@ Mid City has taken most of ekl's former patients.
in many cases, they cant afford health care, they cant afford a ride back home, despite a $400+ ride in an ambulance and a $1500 er visit at BRG. They have no intention of paying those bills, as long as they can get home- that's the only thing these ninjas care about.
in many cases, they cant afford health care, they cant afford a ride back home, despite a $400+ ride in an ambulance and a $1500 er visit at BRG. They have no intention of paying those bills, as long as they can get home- that's the only thing these ninjas care about.
This post was edited on 8/28/14 at 10:04 am
Posted on 8/28/14 at 10:06 am to BigJim
quote:For the medicaid expansion and/or Obamacare to work, they have to end the law that says an ER has to treat somebody. As long as ER's and public hospitals will treat without guranteed payment the freeloaders will
Those under 128% of the poverty line without kids still don't have insurance. That is what the medicaid expansion would have covered. And I am not sure the "no insurance tax/penalty" applies to those below a certain income (though I could be wrong).
continue to use them.
Posted on 8/28/14 at 10:14 am to doubleb
Is it a charity or state funded urgent care facility?
Posted on 8/28/14 at 10:18 am to ThuperThumpin
quote:It is run by LSU so I imagine it is state funded (you mean the one that replaced EKL?)
Is it a charity or state funded urgent care facility?
Posted on 8/28/14 at 10:19 am to WeeWee
quote:
It is run by LSU so I imagine it is state funded (you mean the one that replaced EKL?
Thought it was run by OLOL (but they get state funding). The one in the old K-Mart.
Posted on 8/28/14 at 10:23 am to BigJim
quote:I think
Thought it was run by OLOL (but they get state funding). The one in the old K-Mart.
OLOL runs the day to day operations and the state picks up the tab for the uninsured but I could be wrong.
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