Sep 21, 2020 - Health
Nursing homes are evicting unwanted patients
Nursing homes are finding ways to evict their most expensive patients — often by claiming those patients have psychiatric problems, the New York Times reports.
How it works: Nursing homes send patients to emergency rooms or psychiatric hospitals, claiming they need psychiatric care, and then refuse to let the patient return.
- The nursing homes pounce "on minor outbursts to justify evicting them," NYT writes. The practice is sometimes in violation of federal law.
- Officials in 16 states told the Times that nursing homes have continued dumping patients during the pandemic, with some saying the problem has gotten worse.
Between the lines: Most nursing homes are for-profit, and make the least money caring for the poorest and sickest patients.
- They make the most from short-term patients who are privately insured or on Medicare. Poor people who are at the nursing home long-term are covered by Medicaid, which pays a significantly lower rate than Medicare or private insurance.
- When Medicaid patients with conditions like dementia require extra care, that further exacerbates the financial imbalance between patients.
The bottom line: "Even before the pandemic, there was tremendous pressure to get rid of Medicaid patients, especially those that need high levels of staffing," Mike Wasserman, a former chief executive of Rockport Healthcare Services, told NYT. "The pandemic has basically supercharged that."