Fourth year med student who barely knows anything about the business side of medicine. However, I have seen many times by now how placement issues can keep patients in house for weeks or even months past the time they need inpatient medical care.
My question (especially people on the finance admin stuff in medicine) is… why isn’t any arbitrage going on?
I’m pretty sure that after X amount of time the hospital isn’t getting paid anything by the government for for these patients, but are definitely still paying for 24/7 nursing and getting rounded on.
If a SNF or inpatient rehab or whatever won’t accept the patient, why doesn't the hospital pay to put them up in a temporary SNF or a literal hotel depending on their needs in the meantime? Even if the patients’ insurance doesn't pay squat for it it would still be cheaper, no? Seems like it would be more pleasant for the patient, too.
I’m guessing there’s some legal rational or the hospital is getting compensated more than I’m assuming. In California, for context.
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