Florida Keys News
Monday, December 3, 2012
60 Minutes questions hospital owners

Health Management Associates, the nation's fourth-largest for-profit hospital chain whose stable of rural hospitals includes Lower Keys Medical Center, is under federal investigation after former employees complained that they were ordered to admit more emergency room patients to raise revenues, "60 Minutes" reported Sunday.

HMA made $5.8 billion in revenues last year. Nearl...

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Really.....

So you are certain that LKMC obtains money for the indigent care? I haved worked in that ER for some time and I'm pretty sure that the hundreds of homeless that do not have Medicaid or Medicare are treated at the expense of the hospital...... Or do you also work there and know something I don't? And you are right, the government should control our healthcare. They should also buy everyone's groceries and pay our electricity. They should own our homes and pay the crazy insurance, you Marxist pig. I also worked at e Mayo Clinic recovering organ transplants. A large number of our patients were foreign. Why do you think that is?

Next Up For 60 Minutes: No Name Key

They might need more than 60 Minutes to detail how the island's majority has been shafted over the years, had their rights to sewers, power, water etc taken, some of it given back, then taken away again, placed in and out of the sewer plan, found by the EPA to have pollution and it covered up, let active rock pits destroy the place blast by blast, truck load by truck load and when wanting to sing a 'green' song talk about how it's 'so sensitive'. Please. I say give them power, get rid of the generators, connect the solar to the grid, close the rock pits and for god's sakes sewer the place so as to protect it forever. If it really is 'that' special then treat it like it is and protect the place. Otherwise, bring CBS in to learn what the BOCC, Keys Energy and the FKAA have and have not done. They will need a year long season to cover how those poor people have been discriminaed againt by their own government and quasi-government agencies for the last 20 years. Enough!

$43000000 in uncompensated care

Everyone is all over criticizing the hospital but no one thanks them for their uncompesated care. The hospital is a FOR PROFIT facility. They receive no compensation from the government. How many business owner out there would render services for a customer that can not pay? Not many, I'm sure. I visited Panama this year and went to the FOR PROFIT hospital.....it was a $3000.00 deposit to be seen in the ER. Any Conchs or Transplants want to go this route?

Not a very bright Duck

You stated that "they get no compensation from the government." You couldn't be more wrong on that account! The hospital, like all hospitals, get reimbursed for "charity care" from the government, i.e. people who cannot pay the grossly overinflated cost that LKMC charges. This is probably what you are erroneously referring to. However, last time I checked both meidicaid and medicare are governmental agencies that reimburse hospitals also. Then you can thow in HCFA that supports them as well and you have a nice tidy sum from the government. But this discussion is inane to begin with since treatment for medical and life threatening conditions should be guaranteed by the government, and for profit hospitals is an oxymoron. The fact that the health care industry operates at a profit at the expense of the sick and infirmed is immoral, not to mention that we are the only industrialized country in the world that does this! I suggest that you get your "ducks" in a row before making any further comments that demonstrated2t6j your ignorance.

Agree. And those in the ER or in the various wards have no clue

about the billing and financial issues. They simply generate the tests that the hospital tells them to generate.

Lower Keys Medical Center

Boy that is why we pay so much for Medical Care in Florida, for instance I had Gastric Bypass Surgery, and Lower Keys Medical Center Did my Blood work there so I did not have to go to Miami. This was done at the end of Dec. I know my Deductible was met, Plus I had at the time 2 Insurances Blue Cross & Blue Shield of Florida & Keys Energy. I got a Bill for $300.00 & from not paying it it’s over $400. By now. In Feb the Following year I had my Gastric Bypass Surgery. Blue Cross & Blue Shield of Florida Paid the Whole Dr. Bill. Keys Energy & Blue Cross Paid the Hospital Bill. Don't you think something is wrong at the lower Keys Medical Center? Till this day I have not paid the bill nor do I intend to pay it. They are crooks...

They should investigate

They should investigate training and procedures. When my wife had her epidural the first doctor was great. When labor was being delayed and they had to turn it down, an older doctor came in and said "damn it why does he always use the new equipment, he knows I don't know how to use it" Twenty minutes of randomly pushing buttons and finally the nurse figured out how to turn the dosage down. We lucked out, there were not complications. I have heard of others who were not so lucky. This hospital is a disgrace and I would be happy to testify against their incompetence. I know others who were airlifted for a bloody knows. Charged for a biopsies that couldn't be performed cause of a rib in the way (shouldn't the xray have told him that). The place is a joke.

60 Minutes segment is right on.

HMA had this policy at Fishermen's too. Physicians were constantly pressured to admit and some with integrity to say no were fired. This policy has continued with Quorum Management at Fishermen's using the same EmCare ER group that HMA used. Patients, just ask your doctor.

Reason for lower admission rates from ER...

Where people have fewer alternatives, they tend to use the ER for primary treatment of conditions which do not warrant admission to the hospital. That is why admit rates in rural areas SHOULD be lower. That condition also applies in the Keys, which is considered "rural" in terms of treatment options.

Another factor which drives a disproportionate number of patients to the ER, which was not mentioned in the story, is the astronomical number of uninsured residents in the Keys -- more than double the national average and much higher than the rest of Florida.

Mitt Romney even went so far as to refer to ER treatment as an alternative to insurance, during the last campaign.

Insurance COST....living here:

We just applied for health insurance for ourselves......up in Naples where we have a home as well. To our absolute amazement.......the MONTHLY PREMIUM.......was $250 PER MONTH HIGHER........IN KEY WEST.....than in Naples, Florida! $3,000.00 a year....MORE! Same exact insurance policy! When we asked why.....the answer was: "Because no one down there......has health insurance! SOMEBODY.....has to pay! (Not kidding.)

The Keys are skate central

The Keys are skate central which is why Obama Care rocks, mandating that everyone pays something to support out medical system. Slags flock here to live in paradise on someone else's dime. South Florida is the world epicenter of any kind of fraud you can think of. Trust nobody.

I don't get it.

Why do you have to have a separate policy for medical if you own another home??? I'd want doctors I am already familiar with and schedule physicals and routine things in Naples (if that's your primary home). My husband works on the West coast and still uses our doctors here in the East.
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