In just two months, a federal law kicks in requiring hospitals to tell their Medicare patients if they have not been formally admitted and why. But some physician, hospital and consumer representatives say a notice drafted by Medicare for hospitals to use may not do the job.
The law was a response to complaints from Medicare patients who were surprised to learn that although they had spent a few days in the hospital, they were there for observation and were not admitted. Observation patients聽are considered too sick to go home yet not sick enough to be admitted. They may pay higher charges than admitted patients and do not qualify for Medicare鈥檚 nursing home coverage.
The 聽requires that starting Aug. 6, Medicare patients receive a form聽written in 鈥減lain language鈥� after 24 hours of observation care but no later than 36 hours. Under the law, it must聽explain the reason they have not been admitted and how that decision will affect Medicare鈥檚 payment for services and patients鈥� share of the costs. The information must also be provided verbally, and a doctor or hospital staff member must be available to answer questions.
And patients could have questions, said Brenda Cude, a National Association of Insurance Commissioners consumer representative and professor of consumer economics at the University of Georgia. She said the notice is written for a 12th-grade reading level, even though most consumer materials aim for no more than an eighth-grade level. It 鈥渁ssumes some health insurance knowledge that we are fairly certain most people don鈥檛 have.鈥�
Medicare is soliciting feedback聽on the draft notice聽through Friday.
Medicare officials declined to comment while the draft form is under review. But they have expressed support for efforts to explain observation care.
鈥淲e are in complete agreement with the notion that the patient should certainly know their status and know it as early as possible,鈥� Sean Cavanaugh, Medicare鈥檚 deputy administrator, told a Senate committee last year when asked about the notice legislation. 鈥淎nd we鈥檝e been pushing very hard through educational channels, even providing sample materials that hospitals could use to educate their beneficiaries on what status they have.鈥�
But the form does聽not meet the expectations of Rep. Lloyd Doggett, D-Texas, who co-sponsored .
鈥淚 am concerned that the聽proposed notice fulfills neither the spirit nor the letter of the law,鈥� Doggett said in an interview.
It doesn鈥檛 require the hospital to explain exactly why the patient is getting observation care instead of being admitted, he said, and doesn鈥檛 clearly explain the difference between hospitalization and nursing home benefit and ,聽which covers outpatient services, including doctor鈥檚 visits, lab tests and hospital observation care.
The notice, he said, also聽does not sufficiently explain why observation patients are ineligible for Medicare鈥檚 nursing home coverage, which under law requires at least three consecutive days as an admitted patient.
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The draft notice also has raised some concerns among doctors. It聽says that observation care is provided in order to help the doctor decide whether the patient is sick enough to be admitted. But聽Dr. Jay Kaplan,聽vice chairman for emergency services at Ochsner Health System in New Orleans and president of the聽American College of Emergency Physicians, said it should explain that the doctor鈥檚 decision is not always final. Hospital officials also can decide that patients don鈥檛 meet the admission criteria and should get observation care. If Medicare auditors find that hospitals erred by admitting patients who should have been in observation, Medicare pays nothing for their care.
The number of Medicare observation patients rose to almost 2 million in 2014, 5 percent more than 2013,聽according to government statistics.
The notice鈥檚 information on drug coverage has also raised concerns. It reads, 鈥淕enerally, prescription and over-the-counter drugs, including 鈥榮elf-administered drugs,鈥� given to you by the hospital in an outpatient setting (like an emergency department) aren鈥檛 covered by Part B.鈥�
Those 鈥渟elf-administered drugs,鈥� usually taken at home for chronic health conditions like high cholesterol, are generally covered by the patient鈥檚 separate Medicare Part D drug plan but the coverage often doesn鈥檛 apply inside the hospital.聽Most hospital pharmacies do not participate as in-network pharmacies with Part D plans, said Marina Renneke, a Humana spokeswoman.
However, that section 鈥渨as really quite confusing,鈥� said Kaplan. Medications given to treat the illness that brought聽patients聽to the hospitals are covered under Part B, he said.
Joanna Hiatt Kim, the American Hospital Association鈥檚 vice president for payment policy, said, 鈥淎 number of hospitals already voluntarily distribute their own notices.鈥�
Still, her association has raised some questions about how to carry out the federal requirement in a .
For example, although the federal law requires notice to observation patients after 24 hours and before 36 hours, several states tell hospitals to provide a notice when observation care begins and it may include different details. Should patients get two notices?
Then there鈥檚 the matter of timing. The final notice is expected shortly before hospitals must start giving it to patients. AHA is asking for an additional six months to get ready.