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[quote=Anonymous][quote=Anonymous]Medicaid barely pays the cost to run even a bare bones facility so they need to cut corners, or subsidize the Medicaid patients with self-pay or insurance.  Especially if it’s a for-profit chain—the get the same Medicaid dollars as the religious places and so they are making profits by cutting corners or under-staffing.    The government really needs to raise the Medicaid rates and cut down on Medicare fraud.  
The federal government runs a rating system but most people don’t even know it exists or bother to check it.  [/quote]

Medicaid pays slightly less but not as much as you think.  Many people are on it as even if they saved, they eventually run out of money.  Our nursing home does not discriminate - they treat full pay and medicaid the same - poorly.  They all have bare bones staff.  Ours spent the money on building a new rehab unit vs. patient care.  There is huge medicaid fraud.  They force you to use their doctors who insist in seeing your loved one weekly to monthly and charge even though its a 5 minute visit or they have a PA or just read the staff notes.  We get bill notices from medicaid for doctors we have never heard of or authorized and when we call medicaid they ignore it.  Ours is a well rated home so that doesn't really matter as what looks good on the outside is very different and they cannot always ding them for issues if there isn't clear proof.[/quote]

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