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Employers Support Non-Payment for Hospital-Acquired Infections
Date:2/24/2009

Survey finds purchasers want their health plans to adopt the same payment rules as Medicare

CHICAGO, Feb. 24 /PRNewswire/ -- The non-profit Midwest Business Group on Health (MBGH) released the results of a survey of employers and health care industry stakeholders on their knowledge and intentions to improve the safety and quality of health care by no longer paying for "never events" - serious and costly preventable hospital errors and hospital-acquired infections. The findings were presented at a meeting of key health care industry stakeholders including public and private employers, hospitals, health plans, doctors, consumer organizations and government hosted by MBGH in Chicago last week.

"There are currently several separate efforts taking place in our community aimed at reducing hospital-acquired conditions," said Larry Boress, president and CEO of the MBGH. "We invited key stakeholders to come together for an in depth discussion on "never events" in the hopes that we can bring continuity to these efforts and make faster progress toward improving the safety and quality of health care for everyone."

Survey findings

  • More than 60 percent of employers believed they should pay for conditions that arose after the covered patient was admitted to a hospital, if the facility was not at fault.
  • However, once employers became aware that Medicare had identified conditions which should never happen to a patient and will not pay for services related to such situations, close to 80 percent of health care purchasers agreed that their health plans should adopt the same payment policies as Medicare related to those conditions.
  • Nearly 100 percent of employer respondents indicated hospitals should refrain from billing patients for services not paid for by their benefits for events that experts say should not happen in a hospital.
  • Sixty
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SOURCE Midwest Business Group on Health
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