Comments like this don’t help anyone.

will the doctors managing his/her pressure ulcer in the nursing home not get paid to do so?

this will inevitably mean patients like that getting carted back and forth frequently to the ER/ hospital for admission for infected necrotic mismanaged wounds. the ambulance ride alone is worth like 10 physician visits, and in NY medicaid pays for that!

How do they plan to distinguish primary pressure ulcers from secondary dysautonomic ulcers?

“… and three “never events” (air embolism, …”

Isn’t air embolism an expected complication of cranial surgery?

Sutures rupture, patients develop wound infections and other events occur that are complications despite good management. Should the patient and the doctor both be punished? Should anyone be punished at all? I don’t think so. It certainly does not benefit the doctor that his patient should have complications, even if it does mean more services (and BTW, additional services within the postoperative period do not compensate at full value anyway.)

It is time we saw this for what it is, a piecemeal shaving away and watering-down of benefits, designed to benefit the private insurance industry which will no doubt seize this as an opportunity to raise rates for the supplemental market to cover their increased “exposure.”

Once again, your tax dollars at work.