Programs designed to help elderly people with Covid-19 are creating a perverse financial incentive for nursing homes with bad track records to bring in sick patients, raising the risks of spreading infections and substandard care for seriously ill patients
Programs designed to help elderly people with coronavirus are creating a perverse financial incentive for nursing homes with bad track records to bring in sick patients, raising the risks of spreading infections and substandard care for seriously ill patients, according to advocates for the elderly and industry experts.
“The places hospitals want to send these Covid-positive patients turn out to be the places least equipped to take them, places that are already the most dangerous facilities in the United States,” said Mike Dark, an attorney at California Advocates for Nursing Home Reform. “These are places that have serious infection control issues, terrible understaffing issues.”
In California, a Los Angeles County nursing home that volunteered to be among the initial batch of facilities exclusively accepting coronavirus patients said it would bill $850 per day, according to a In Rhode Island, the state is paying two facilities $8,250 per day to serve as coronavirus specialty homes to cover costs
David Grabowski, an expert in aging and long-term care at Harvard Medical School, said creating Covid-specialty nursing homes is a great idea in theory, but has proven difficult to implement because the best and most qualified nursing homes – the four- and five-star facilities -- are already full and don’t have room to take on more patients.doing this unless they can show that there's been a big change in management” or a partnership with a hospital system, he said.
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