A job engine sputters as hospitals cut staff -USA Today

[MountainPharmD]

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http://www.usatoday.com/story/money/business/2013/10/13/hospital-job-cuts/2947929/

From USA Today. Spin it any way you like but the facts are the facts.

Medicare, Medicaid and private insurance companies are all reducing reimbursement to hospitals. The federal budget cuts known as sequestration have cut Medicare reimbursement by 2%, the American Hospital Association says.

The health care law has further reduced the Medicare payments to hospitals that provide lower-quality service or have high readmission rates.

The new health care law was supposed to ease the burden on hospitals by expanding Medicaid coverage to more low-income Americans, who often use hospital services in emergencies then don't pay their bills. But 26 states, including Tennessee, rejected ACA's offer of federal funding to expand Medicaid. That decision led to about a third of the job cuts by Nashville-based Vanderbilt, Howser says.

I love it! They had to include someone with there head up there arse like half of you on here. Sorry bub no they don't and no they won't. Exactly as predicted by many the new influx of insured patients will be added to the work load of a greatly reduced staff. Soon you will be doing 5 times more work than you were two years ago for less money.

Still, J.P. Fingado, CEO of API Healthcare, a consulting firm for hospitals, says the layoffs are shortsighted because the providers likely will have to add staff as soon as next year to handle increased patient volumes resulting from the health care law.

 

[BenJammin]

Just another reason why residency is stupid.

 

[knight on horse]

Just another reason why residency is stupid.

There are obvious reasons why, but there is also a slim possibility it can be a panacea.

Imagine, if you will, a highly regarded hospital with a highly capable staff with rich clientele whose doctors are not much interested in the pharmacological side of things. Then, if you are a star clinical pharmacist, you can have it made

This is not to say there aren't dark times ahead, there are, for most in the hospital system and elsewhere, nevertheless, this possibility exists, and who/where better to ride out the storm

 

[WhiteSnows]

Just another reason why residency is stupid.

👍

 

[joetrisman]

Just another reason why residency is stupid.

Nothing in life is a sure bet and I prefer placing it all on black

 

[thephoenician88]

Just another reason why residency is stupid.

wait, why exactly?

if someone does a residency and wants to be in a hospital, I imagine they'd be less likely to be cut vs the new grad who just landed the staff position.

yea the resident may have to be a staff for a little while, but he has the background to do something else if a situation presents itself.

 

[StellargalS]

shortsighted I am afraid.

 

[joetrisman]

wait, why exactly?

if someone does a residency and wants to be in a hospital, I imagine they'd be less likely to be cut vs the new grad who just landed the staff position.

yea the resident may have to be a staff for a little while, but he has the background to do something else if a situation presents itself.

With the volatility of the current healthcare paradigm, forgoing residency and paying off your loans asap in retail is quickly becoming the best bet (think 7on/7off with spare shifts on your off week). The fat is being trimmed from healthcare and likely there will be a significant generation of pharmacist with an income to debt disparity when budgets can no longer be cut through removing manpower.

 

[spacecowgirl]

Once again, unicorn land is hiring. Seriously.

 

[confettiflyer]

Once again, unicorn land is hiring. Seriously.

Hired an onc specialist last week. Pulled off some epic OT this month. Are we in some alternate universe?

 

[rxlea]

You're in unicorn land.

 

[owlegrad]

How can they be hiring? Do they know about Obamacare?

 

[xiphoid2010]

How can they be hiring? Do they know about Obamacare?

Well, they are in California, the state with a 10% income tax but still somehow goes broke.

 

[rxlea]

Well, they are in California, the state with a 10% income tax but still somehow goes broke.

Must be all those "medicaid babies"

 

[xiphoid2010]

Must be all those "medicaid babies"

nah, it's called people there thought it was smart to elect a steroid abusing actor as governor. This is why democracy is a bad idea.

 

[spacecowgirl]

Hired an onc specialist last week. Pulled off some epic OT this month. Are we in some alternate universe?

You're in unicorn land.

What does it mean?!?!?

 

[Recycled]

Rofl! Best graphic EVER!

What does it mean?!?!?

 

[confettiflyer]

Well, they are in California, the state with a 10% income tax but still somehow goes broke.

we're broke? we had a surplus this year....dunno what you're talking about ::

oh that recession thing, haha...almost forgot about that

 

[confettiflyer]

nah, it's called people there thought it was smart to elect a steroid abusing actor as governor. This is why democracy is a bad idea.

psh...i voted for him and liked him as governor, AND i have his signature on my college diploma. he was a better gov than cold fish grey davis.

 

[confettiflyer]

What does it mean?!?!?

OH! I got my COLA this week, triple rainbow?

 

[xiphoid2010]

psh...i voted for him and liked him as governor, AND i have his signature on my college diploma. he was a better gov than cold fish grey davis.

There you have it folks, why folks in cali see unicorns. In other news, Californians are shocked, SHOCKED, to realize that this here is earth. 😀

 

[PumpkinSmasher]

Once again, unicorn land is hiring. Seriously.

Yes they are, we have a multiple 100%clinical positions open for the right unicorn. 🙂

 

[PharmDstudent]

I don't know what y'all are talking about , because two of our clinical positions were merged into one position with the last change in pharmacy management. No unicorns wanted here...

 

[confettiflyer]

There you have it folks, why folks in cali see unicorns. In other news, Californians are shocked, SHOCKED, to realize that this here is earth. 😀

haha, we're our own country, and we're better than you.... or at least we act like it.

I had this long post a while ago about how it permeates everything, including pharmacy, which explains why we have our own jurisprudence exam (and our own version of NAPLEX for a while). We set the de facto pollution standards for cars in the US. We also dragged the rest of the country into a revision of the SAT exam because we thought it sucked.

It's physically difficult to leave California... Pacific Ocean to the west, int'l border to the south, Sierra Nevada & the hottest desert in the country to the east, Cascades to the north.

Just sucks we subsidize the rest of the country...I want my federal tax dollars back and spent here. 👎

 

[xiphoid2010]

haha, we're our own country, and we're better than you.... or at least we act like it.

I had this long post a while ago about how it permeates everything, including pharmacy, which explains why we have our own jurisprudence exam (and our own version of NAPLEX for a while). We set the de facto pollution standards for cars in the US. We also dragged the rest of the country into a revision of the SAT exam because we thought it sucked.

It's physically difficult to leave California... Pacific Ocean to the west, int'l border to the south, Sierra Nevada & the hottest desert in the country to the east, Cascades to the north.

Just sucks we subsidize the rest of the country...I want my federal tax dollars back and spent here. 👎

Dude, you know I'm just trying to mess with ya, right.

It's just that Cali is just so off sync with the rest of the country that jokes about it being a bunch of tree-hugging, pot-smoking, commies whether you are in Connecticut or in Texas. we know that you aren't all are like that... just most of ya.

Just for laughs, here's another one
http://economy.money.cnn.com/2012/10/10/california-texas-richard-fisher/

 

[confettiflyer]

Dude, you know I'm just trying to mess with ya, right.

It's just that Cali is just so off sync with the rest of the country that jokes about it being a bunch of tree-hugging, pot-smoking, commies whether you are in Connecticut or in Texas. we know that you aren't all are like that... just most of ya.

Just for laughs, here's another one
http://economy.money.cnn.com/2012/10/10/california-texas-richard-fisher/

I know I know, I like my California soap box though. And we are aware we are the land of "fruits and nuts" as my friends in Oklahoma like to remind me....but what I love about this state is we just don't care and keep doing what we do.

What can i say, I have a secessionist streak in me, haha.