Revealed: UnitedHealth secretly paid nursing homes to reduce hospital transfers

[58Sunliner]

8. No, you are deliberately misconstruing what I posted.

It is a fact that most facilities do not have enough staff for more than standard checks, and some fail at that standard. You conveniently left out the needs for testing and procedures that homes can not provide, or have the skilled staff necessary to administer. I know that staffing is an issue when trying to get a Dr. to sign off on a transfer for pt care needs. I also know the ball gets dropped and pts suffer when the chain of command for facilitating transfers is stymied by bureaucracy created to deny costs.
"Whose primary mission in life is avoiding inpatient hospitalizations and paid by insurance companies to do it, to include Medicare and Medicaid"-Sounds like you have incentives to restrict care and deny transfers. Also sounds sounds like you do not actually work in a home, unless it is managed by your insurance company, and you would not be floor staff, but administrative.