Financing

In the spirit of full disclosure, I am asking these questions as someone who has experience in managing hospital admissions and discharges on both a personal and a professional level. I am an acute care hospital discharge planner with an advanced practice social work Masters' degree and I have a second Masters in Public Health (Healthcare Admin). I am also an individual who had a gastric sleeve surgery 3 years ago. I also practice in Texas so I'm pretty familiar Texas Medicaid guidelines as well as the federal Medicare guidelines for inpatient Hospital stays. I'm not mean to criticize any of the participants in the program I just don't understand their prolonged his positions are being funded at a hospital level of care rather than a skilled nursing or residential treatment level of care.

I completely understand the need for inpatient treatment programs and fully support programs to be covered by someone's insurance. I guess I'm just not understanding someone being admitted to an acute care hospital for such an extended period of time for nutrition control. The way that it is presented on this show is that patients are being admitted to the hospital for nutrition control and weight loss. I don't feel like the show adequately clarifies exactly what unit or type of unit that patients are being admitted to when doctor Now says " I'm going to admit you to the hospital to get your eating under control ". It is not made clear why patients are being admitted to a hospital rather than Skilled Nursing Facility or a residential treatment program such as you described. Under the doctrine of least restrictive environment I know that patients, once medical stable, do not meet inpatient criteria so I'm just not getting how they are allowed to stay at a higher level care and have it continue to be funded by insurance unless they're being admitted to a swing bed or the units in the hospital are actually certified for extended stay. Congratulation on your successful treatment I don't know how hard it is.

/r/My600lbLife Thread Parent