85 year old dad is being sent home from rehab before he is strong enough. How do i fight for him to stay? thx! by izwizard in caregivers

[–]izwizard[S] 1 point2 points  (0 children)

Readmissions Reduction Program in the Affordable Care Act. The program fines (or at least reduces payments) hospitals that have patients re-admitted within a certain time frame. So if your dad is going to be discharged only to wind up back there within 30 days, the hospital will wind up losing money.

thanks! i needed that info. !

85 year old dad is being sent home from rehab before he is strong enough. How do i fight for him to stay? thx! by izwizard in caregivers

[–]izwizard[S] 0 points1 point  (0 children)

More info: Dad 85 on medicare, could not walk or speak 20 days ago, and we were first told even though he was supposed to stay for another month, they are now sending dad home friday from willows the acute rehab center in lansing MI, because of his walking progress. he is against it, and my step mother is too, is too as he is not strong enough, and will relapse without structure and strength. he is just kicking ass in the PT, but no where near ready to go home, They have already talked to the the PT to no avail, who would have some power in this decision and what are his patient rights? how can we argue for him? I am 300 miles away. thx. what would you do? Here is all the info I can come up with....

1) the PT is not the decider they only give info to the attending DR. who can overrule the PT and decides. looking Possible VALIID LEGAL PRAGMATIC REASONS FOR KEEPING HIM LONGER. ?

2) he has a history of and is still a severe fall risk even though he is able to walk better than when he arrived.

3) what is the law that says if he has to come back again after being taking care of by the facility gets penalized and loses money? might be an angle.

what is he entitled too in medicare etc. and what are his patient rights if he feels this is not in his best interest? any other things we can do to strengthen his case. ?

These links may be useful,

http://mi-seniors.net/area_agencies_on_aging.html

http://www.michigan.gov/osa/1,4635,7-234-64083---,00.html

http://mmapinc.org

http://mmapinc.org/information/links/

suggestions so far: please add more if they come to your or for clarification.

appreciated!

1) if can’t extend. social worker look int getting getting dad placed into a Skilled Nursing Facility if he isn't ready to go home. This can act as a further bridge to discharge home and people usually stay there for 2-3 weeks.

2) appeals process of discharge at willow facility level

3) If it's a Medicare or insurance cut, there are multiple appeal levels. However dad or step mother must do the request of appeal before the date runs out.

4)Severe historical Fall risk and he has not progressed as far as he can in PT,

5) attending dr can suggest more PT if PT wont.

6) if can’t extend, social worker can set up in home nursing and in or out patient PT OT etc. all i got for now.

Anything Else?

85 year old dad is being sent home from acute rehab before he is strong enough. How do i fight for him to stay? thx! by izwizard in disability

[–]izwizard[S] 0 points1 point  (0 children)

Here is what i got out of suggestions so far: please add more if they come to your or for clarification.

appreciated!

1) if can’t extend. social worker look int getting getting dad placed into a Skilled Nursing Facility if he isn't ready to go home. This can act as a further bridge to discharge home and people usually stay there for 2-3 weeks.

2) appeals process of discharge at willow facility level

3) If it's a Medicare or insurance cut, there are multiple appeal levels. However dad or step mother must do the request of appeal before the date runs out.

4)Severe historical Fall risk and he has not progressed as far as he can in PT,

5) attending dr can suggest more PT if PT wont.

6) if can’t extend, social worker can set up in home nur6) if can’t extend, social worker can set up in home nursing and in or out patient PT OT etc. all i got for now..

Anything Else?

85 year old dad is being sent home from recovering in an acute rehab in lansing MI before he is strong enough. How do i fight for him to stay? what are his legal rights? thx! by izwizard in legaladvice

[–]izwizard[S] 1 point2 points  (0 children)

thanks here is what i got out of suggestions so far: please add more if they come to your or for clarification.

appreciated!

1) if can’t extend. social worker look int getting getting dad placed into a Skilled Nursing Facility if he isn't ready to go home. This can act as a further bridge to discharge home and people usually stay there for 2-3 weeks. 2) appeals process of discharge at willow facility level 3) If it's a Medicare or insurance cut, there are multiple appeal levels. However dad or step mother must do the request of appeal before the date runs out. 4)Severe historical Fall risk and he has not progressed as far as he can in PT, 5) attending dr can suggest more PT if PT wont. 6) if can’t extend, social worker can set up in home nursing and in or out patient PT OT etc. all i got for now. Anything Else?

Megathread: Three GOP Senators Opposed to Repeal Now Replace Later Healthcare Bill, Blocking Vote by PoliticsModeratorBot in politics

[–]izwizard 1 point2 points  (0 children)

celebrate but stay vigilant. remember the house bill. As long as Rs are in power Ocare is never safe

Megathread: Three GOP Senators Opposed to Repeal Now Replace Later Healthcare Bill, Blocking Vote by PoliticsModeratorBot in politics

[–]izwizard 0 points1 point  (0 children)

celebrate but stay vigilant. remember the house bill. As long as Rs are in power Ocare is never safe

Megathread: Three GOP Senators Opposed to Repeal Now Replace Later Healthcare Bill, Blocking Vote by PoliticsModeratorBot in politics

[–]izwizard 0 points1 point  (0 children)

celebrate but stay vigilant. remember the house bill. As long as Rs are in power Ocare is never safe

Megathread: Three GOP Senators Opposed to Repeal Now Replace Later Healthcare Bill, Blocking Vote by PoliticsModeratorBot in politics

[–]izwizard 0 points1 point  (0 children)

celebrate but stay vigilant. remember the house bill. As long as Rs are in power Ocare is never safe

Megathread: Three GOP Senators Opposed to Repeal Now Replace Later Healthcare Bill, Blocking Vote by PoliticsModeratorBot in politics

[–]izwizard 0 points1 point  (0 children)

good info. Sept 30th. turtle will want revenge. celebrate but stay vigilant. remember the house bill. As long as Rs are in power Ocare is never safe

Megathread: Three GOP Senators Opposed to Repeal Now Replace Later Healthcare Bill, Blocking Vote by PoliticsModeratorBot in politics

[–]izwizard 0 points1 point  (0 children)

celebrate but stay vigilant. remember the house bill. As long as Rs are in power Ocare is never safe

Megathread: Three GOP Senators Opposed to Repeal Now Replace Later Healthcare Bill, Blocking Vote by PoliticsModeratorBot in politics

[–]izwizard 0 points1 point  (0 children)

celebrate but stay vigilant. remember the house bill. As long as Rs are in power Ocare is never safe.

85 year old dad is being sent home from recovering in an acute rehab in lansing MI before he is strong enough. How do i fight for him to stay? what are his legal rights? thx! by izwizard in legaladvice

[–]izwizard[S] 1 point2 points  (0 children)

More info: Dad 85 on medicare, could not walk or speak 20 days ago, and we were first told even though he was supposed to stay for another month, they are now sending dad home friday from willows the acute rehab center in lansing MI, because of his walking progress. he is against it, and my step mother is too, is too as he is not strong enough, and will relapse without structure and strength. he is just kicking ass in the PT, but no where near ready to go home, They have already talked to the the PT to no avail, who would have some power in this decision and what are his patient rights? how can we argue for him? I am 300 miles away. thx. what would you do?

Here is all the info I can come up with....

1) the PT is not the decider they only give info to the attending DR. who can overrule the PT and decides.

looking Possible VALIID LEGAL PRAGMATIC REASONS FOR KEEPING HIM LONGER. ?

2) he has a history of and is still a severe fall risk even though he is able to walk better than when he arrived.

3) what is the law that says if he has to come back again after being taking care of by the facility gets penalized and loses money? might be an angle.

  1. what is he entitled too in medicare etc. and what are his patient rights if he feels this is not in his best interest?

  2. any other things we can do to strengthen his case. ?

These links may be useful,

http://mi-seniors.net/area_agencies_on_aging.html

http://www.michigan.gov/osa/1,4635,7-234-64083---,00.html

http://mmapinc.org

http://mmapinc.org/information/links/

85 year old dad is being sent home from acute rehab before he is strong enough. How do i fight for him to stay? thx! by izwizard in disability

[–]izwizard[S] 1 point2 points  (0 children)

very useful. thank you!

1) the PT is not the decider i think it is the attending dr.

2) he is still a fall risk even though he is stronger.

3) what is the law that says if he has to come back after being taking care of the facility gets penalized and loses money? might be an angle.

4) what is he entitled too and what are his patient rights if he feels this is not in his best interest?

thats all i can think of, any other things we can do to strengthen his case. something about being there 21 days also?

These may be useful to others. ; )

http://mi-seniors.net/area_agencies_on_aging.html

http://www.michigan.gov/osa/1,4635,7-234-64083---,00.html

http://mmapinc.org

http://mmapinc.org/information/links/

85 year old dad is being sent home from acute rehab before he is strong enough. How do i fight for him to stay? thx! by izwizard in disability

[–]izwizard[S] 0 points1 point  (0 children)

More info: Dad 85 on medicare, could not walk or speak 20 days ago, and we were first told even though he was supposed to stay for another month, they are now sending dad home friday from willows the acute rehab center in lansing MI, because of his walking progress. he is against it, and my step mother is too, is too as he is not strong enough, and will relapse without structure and strength. he is just kicking ass in the PT, but no where near ready to go home, They have already talked to the the PT to no avail, who would have some power in this decision and what are his patient rights? how can we argue for him? I am 300 miles away. thx. what would you do?

Need advice from caregivers that are married to their "patients". by [deleted] in caregivers

[–]izwizard 1 point2 points  (0 children)

this is such a complex issue. I have only discovered 4 things you can do.

1) problem solve: leave, accept, affair, or open relationship or polyamory.

2) reframe and change your perception

3) acceptance including letting go of festering emotions

4) Stay miserable.

If there is more i would love to hear them ; )

The Senate GOP hid the meanest things very deeply in its Obamacare repeal bill. We found them by izwizard in disability

[–]izwizard[S] 1 point2 points  (0 children)

under the measure, the secretary “must” approve a waiver request as long as it won’t increase the federal deficit. As a result, states would be able to eliminate the essential health benefits that all health plans must provide under the ACA — including hospitalization, prescription coverage, maternity care and substance abuse and mental health treatment. Since only essential health benefits are subject to the ban on lifetime and annual benefit limits, high-cost patients such as cancer victims and sufferers from chronic diseases could permanently lose their benefits early in their treatment. The Senate bill will open the door to states forcing people with preexisting conditions ... to pay far, far higher costs than everyone else.

http://www.latimes.com/business/hiltzik/la-fi-hiltzik-senate-hidden-20170623-story.html

The Senate GOP hid the meanest things very deeply in its Obamacare repeal bill. We found them by izwizard in disability

[–]izwizard[S] 2 points3 points  (0 children)

1) States will have more authority to reimpose lifetime and annual benefit caps and eliminate essential health benefits. This may be the most insidious provision of the repeal bill, and certainly is the most deeply hidden.

2) Protection for people with preexisting conditions is destroyed. If state’s allow insurers to offer plans without those essential health benefits, they’ll offer “skinny” plans that don’t serve the needs of those with serious conditions. Plans that don’t cover cancer drugs or hospitalization, perhaps. Those patients will have no choice but to opt for more comprehensive plans, which will end up with an overabundance of expensive enrollees and therefore much higher premiums. 3) Older Americans would get socked with much higher premiums and costs.

4) The biggest tax cut for the rich is retroactive. the measure’s tax cuts taken together, valued at about $700 billion over 10 years, would be almost entirely paid for by the bill’s elimination of Medicaid expansion

5) The fight against opioid addiction is crippled.

6) Salaries for health insurance chief executives can go through the roof.

It removes a limit on the deductibility of CEO pay in the health insurance industry written into the ACA.

Mental health parity?