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compare private health funds comparison medical.
Fighting Premature Hospital Discharge: Patients are usually more than
happy to leave the hospital following elective or emergency care. But
some patients, mostly Medicare recipients, are being discharged before
they've fully recovered.
Culprit: A pricing system established by Medicare that puts hospitals
under pressure to discharge patients "quicker and sicker." Hospitals now
have incentives to skimp on resources, and subtly devise ways to cut
corners and increase their own profits. Medicare recipients include
about 33 million people, mostly elderly.
You can fight an unjust early discharge.
See
hospital center
for more information.
Here's how:
• Have your attending physician argue your case with the clinical
director, who monitors length of stay. If the hospital still decides you
must leave, appeal to your state's peer review organization, a
government body that monitors hospital practices. Although this may be a
cumbersome process, the hospital will allow you a two-day grace period
during the action. Comforting: Once you've begun an appeal process,
chances are you will be allowed to stay longer. Hospitals know if a
patient dies, they may face a malpractice suit.
• Contact the American Association of Retired Persons if you feel you've
been mistreated. Few people realize the considerable power of this
28-million-member consumer organization. Write to the executive director
of your local or regional chapter. The AARP can exert direct and
indirect pressure on a hospital's chief executive officer.
The new pricing system resulted from Medicare's establishment of about
500 different groupings of inpatient and outpatient medical procedures,
known as diagnostic related groups (DRGs). Until five years ago,
Medicare reimbursed a hospital for the cost of a procedure. Now Medicare
uses DRGs to determine the average length of stay for a procedure and
prices it accordingly. If the patient leaves before that "average
period," the' hospital makes money. If he stays longer, the hospital
loses money. Result: Average length of stay in hospitals has dropped
dramatically in the last few years.
On the positive side, DRGs have eliminated inefficiencies. Few patients
need to stay longer than the designated period. Stays longer than
necessary increase the chance of hospital borne infections. However, no
one should be discharged before it's medically wise.
To Compare Private Health Funds Comparison Medical- Top
Best US Diagnostic Clinics: A day at a diagnostic
clinic can be as useful as a day with a business consultant who knows
the right questions to ask. The clinics use the latest techniques to
screen and test for a broad spectrum of problems and potential problems.
At the end, a physician gives the patient a thorough review of the
results. Typical follow-up: Individuals are motivated to stop smoking,
change their diet, or lose a few pounds. Many return for another
run-through of the tests to see the improved results.
Twelve top US. clinics for diagnostic physicals:
Vincent Astor Diagnostic Service, New York Hospital, Cornell Medical
Center, 525 E. 68 St., New York 10021, 212-472-5753. Appointment: Two
weeks in advance. Exam: Three to four hours.
Cleveland Clinic, 9500 Euclid Ave., Cleveland 44106, 216-444-2200.
Appointment: Six to eight weeks' notice. Exam: One day, or two half
days.
Executive Health Examiners, 777 Third Ave., New York 10017,
212-486-8900. Branch facilities in Stamford, CT, Morristown, NJ, with
affiliates in 500 cities. Appointment: Two weeks' notice. Exam: Two to
three hours.
Greenbriar Clinic, White Sulphur Springs, WV 24986,304-536-1110.
Appointment: One year in advance. Exam: Two to three days.
Lahey Clinic, 605 Commonwealth Ave., Boston 02159, 617-261-2200.
Appointment:
Four to six weeks' notice. Exam: One to three days.
Life Extension Institute, 1185 Ave. of the Americas, New York 10036,
212-575-8300. Institute has over 800 affiliates. Appointment:
A few days' notice.
Mayo Clinic, 200 S.W. First St., Rochester, MN 55901, 507-282-2511.
Appointment: One year's notice. Exam: One day.
Ochsner Clinic, 1514 Jefferson Highway, New Orleans 70121, 504-834-7070.
Exam:
Three days to one week.
Palo Alto Clinic: 300 Homer Ave., Palo Alto, CA 94301, 415-321-4121.
Appointment: Four weeks' notice. Exam: One day.
Scott-White Clinic, Scott-White Hospital, Temple, TX 76501,817-774-2111.
Appointment:
Three weeks' notice. Exam: Two days.
Scripps Clinic, 10666 N. Torrey Pines Rd., LaJolla, CA 92037,
714-455-9100. Appointment: Two to three weeks' notice. Exam: Two days.
Strang Clinic, 320 E. 15 St., New York 10003, 212-475-6066. Appointment:
Two weeks' notice. Exam: One day.
Hospital
Mistakes: Hospital stays can be dangerous. Some 36% of those in one
study suffered ill effects from drugs or therapy prescribed by their
physicians. And 9% of the adverse reactions were life-threatening (2 %
of the patients actually died). In another study, 36 mistakes were found
in the treatment of 5,612 surgical patients. Causes of the surgeon's
errors: Over optimism, haste, desire for perfection.
Should You Choose Outpatient Surgery? A growing number of simple
operations are being performed without postoperative hospitalization.
Prime benefit: Saving money. Even with medical insurance, patients
generally pay 20% of their hospital bill. In the case of plastic
surgery, a popular outpatient operation, hospitalization costs may not
be covered by insurance at all.
Psychological benefit: In the case of older people, in particular,
leaving the familiarity of their home and spending a night or more in a
strange hospital is traumatic. With outpatient surgery, they can be back
home within hours, thus limiting the potential trauma.
The most common procedures performed where you can usually (but not
always) leave after just a few hours of recuperation:
Tonsillectomy.
Minor plastic surgery. Abortion. Skin-growth removal. Vasectomy.
Hand surgery. Eardrum repair. Removal of a cyst.
Diagnostic viewing of bladder and urine
ducts.
Vein ligation.
Some cataract operations.
Outpatients do not have the constant medical attention offered by a
hospital stay. They should check out the following on their own:
Is the surgeon associated with a good hospital in the area? Can the
doctor perform the operation in that hospital?
Does the surgeon have admitting privileges with a good hospitality):1at
will allow you to be transferred there in case of complications?
Is the admitting hospital nearby?
Is the doctor's assistant qualified to administer anesthesia?
Is there a recovery room where you can rest for a few hours?
Is there a full-time registered nurse present during surgery and during
the recovery period?
In the case of a private surgical suite, is the facility approved by any
regional agency? (There is no government organization that regulates
them.)
Be aware that outpatient surgery may be undesirable if you have physical
problems like persistent hypertension or psychological problems. Also,
most outpatient clinics use only local anesthesia. If you insist on a
general anesthetic, you may find there's no alternative to a hospital
stay.
Do-It-Yourself Medical Tests: Self-diagnosis has been made easier by a
proliferation of do-it-yourself medical testing devices for a variety of
ailments. Among them:
Blood pressure: Stethoscope and cuff kit are available at any department
or discount store for around $20. More sophisticated devices, with
digital readouts: $100 and up.
Bowel cancer: The Guaiac Test, available through some local offices of
the American Cancer Society, analyzes for blood in the stool.
Pregnancy: A kit available at drugstores gives a moderately reliable
diagnosis immediately.
Baby breathing: This device monitors for irregular infant breathing to
warn against crib death. Can be rented from hospitals.
Urine tests: For diabetes. At drugstores, the cost is about $3.
Coming soon: Blood tests for anemia and cho1esterol1evels; electronic
dental hygiene kits; emergency medical equipment similar to that used by
paramedics.
Diagnosing Diabetes: Diabetes is the third leading
cause of death in the country, after heart disease and cancer. The
disease is an inability of the body to handle sugar. It appears at two
times:
Juvenile: Strikes children and young adults (10% of the cases). Control:
Regular injections of insulin.
Maturity: Occurs in middle age and beyond.
More common and less dangerous. Control:
Weight loss through diet and exercise. Usually, oral medication or
injections are required.
Who gets it: The risk of diabetes in adults doubles with every ten years
of life and every 20% of increased body weight. Women run a greater
chance of contracting it than men. Many victims have diabetic relatives.
The symptoms in children: Rapid weight loss, fatigue, nausea, abnormal
thirst and hunger. In mature adults, if uncontrolled: Weight gain or
loss, tiredness, scaly or itchy skin, circulatory impairment.
Caution: For some adults, the disease is only uncovered during a routine
physical examination.
Midwives And Medical Insurance: Before choosing home delivery, rather
than hospitalization and doctor's care, check out the company medical
insurance plan. In some states, Blue Cross/Blue Shield won't cover
midwifery, on grounds that the hospital routine, although more
expensive, is safer.
While searching the internet for
best medical health hospital center
services
string the name of your state and city so
that you get local best medical health
hospital center services. For your convenient here is a list of US states and biggest
cities: in Alabama, in Alaska, in Arizona, in Arkansas, in California, in Colorado,
Connecticut, Delaware, District of Columbia, in Florida, Georgia, Hawaii,
Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine,
Maryland, Massachusetts, in Michigan, Minnesota, Mississippi, Missouri,
Montana, Nebraska, Nevada, New Hampshire, in New Jersey, New Mexico, in New York,
North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode
Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont,
Virginia, Washington, West Virginia, Wisconsin, Wyoming. in New York, in Los
Angeles, in Chicago, in Houston, in Philadelphia, in Phoenix, in San Antonio, San Diego,
in Dallas, in San Jose, Detroit, Indianapolis, Jacksonville, in San Francisco,
in Columbus, Ohio, Austin, Memphis, Baltimore, Fort Worth, Charlotte, El Paso,
Milwaukee, Seattle, Boston, Denver, Louisville- Jefferson County,
Washington, Nashville-Davidson, in Las Vegas, Portland, Oklahoma City, Tucson,
Albuquerque, Long Beach, Atlanta, Fresno, Sacramento, New Orleans,
Cleveland, Kansas City, UK, Virginia Beach, Omaha, Oakland, Miami, Tulsa,
Honolulu, Minneapolis, Colorado Springs, Arlington. AL. AK, AS, AZ, AR, CA, CO, CT, DE, DC, FM, FL, GA, GU, HI, ID, IL, IN, IA, KS, KY, LA, ME, MH, MD, MA, MI, MN, MS, MO, MT, NE, NV, NH, NJ, NM, NY, NC, ND, MP, OH, OK, OR, PW, PA, PR, RI, SC, SD, TN, TX, UT, VT, VI, VA, WA, WV, WI, WY. Use any of the following to enhance your search: low cost cover budget number first on line prices need quick instant general lowest, multiple reviews buy no deposit premium excess ratings green estimate deals sites usa review swift used comparisons, laws policies market import national gap rating information value quotation all family, questions agencies buying payment estimates agency imported which good any costs agent, full coverage stolen shop provider lower advice minimum sr22 average premiums second deal about guide private.
Source: Consumer Information Center
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