The Cost of Rehab
I recently learned that my facility isn't as generous as I first thought. I've previously said we will admit patients to our rehab unit with or without insurance. I knew those patients were sent bills for their stays. A few days ago, I learned those bills are sent to collection agencies. Some of our uninsured patients have lost houses as a result.
I guess I should have seen that coming. Obviously the hospital would want the bill to be paid. If the bill wasn't paid, some action would be taken. If you follow that line of thought, it is reasonable that a collection agency or other entity of that nature could be consulted. For many uninsured patients, the house is their only asset. Once it is gone they have nothing.
I wonder if they think therapy was worth the price of a house. I wonder if they would make the same decision if they knew the tradeoff was the house. I would certainly have to think about that. Generally, rehab doesn't put patients back the way they were. Instead it gets them back to functioning. Some people will never return to their prior functional level no matter how much therapy they receive.
Is that worth the price of a house? Everyone knows that patients must be given a choice. Usually we think of that choice in terms of which facility or what level of care. For the uninsured there is a different choice to be made. Do you want therapy if you have to pay for it later?