A life-lesson in cost-awareness By Jordan Harmon Moderator | 28 Aug, 2014

In a recent Costs of Care Blog Post, a nurse writes of her experience with child birth and the lack of her understanding (even though she is in the profession) of costs associate with her care. The NICU costs associated with having her child were much higher than she could have ever expected. Read it here: http://www.costsofcare.org/a-life-lesson-in-cost-awareness/

Are there experiences where you as the clinician or administrator were seen as a patient and surprised by the costs of your care? Tell us about it.

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Elizabeth Glaser Replied at 6:13 AM, 29 Aug 2014

I am a nurse who is currently finishing a PhD in social policy which focuses on economic evaluation so I do tend to be more sensitive to the cost of care. I have mentioned in various fora that an elderly family member has been admitted to a local hospital on several occasions under the observation designation ( including most recently , after a stroke - not a soft admit !)

Providers do not understand that a patient being admitted for observation under Medicare will have to cover the costs of medication and other services that would have been covered during a a full inpatient admission. I recently spoke with a person fairly high up in a local VNA - this agency provides services to elders who are discharged home because they are not eligible for SNF services due to an observation admission. She only understood the hospitals' take on this , not that the practice would ever incur real costs to elders. She was upset to hear this but I am not sure if she or any colleagues will compel the hospital to change its practices even though we are supposed to be advocates for our patients.