Standardizing Prices for COVID-19 treatment in private hospitals

Some of you have shared information about how some private hospitals are charging exorbitant rates for COVID-19 treatment. Efforts by some of the LocalCircles members has led to results in Maharashtra. With this post we seek your specific inputs on what can be done to ensure COVID-19 treatment and ICU/room/ward charges at private hospitals are not exorbitant.

Look forward to your inputs!

Below are some of the issues listed by you in regards to the healthcare sector in the past that can be referred to.

Issues identified with Healthcare previously

1.Patients are asked to take unnecessary tests.
2.Rate of tests like MRI, CT scan etc. are way higher in private hospitals than outside.
3.As a money-making exercise, many hospitals straight away suggest surgeries in cases where it might not immediately be needed.
4.If the patient has insurance, the hospitals keep them admitted for a longer duration of time and bills are inflated.
5.Patients are kept on ventilators even if there is no chance of recovery.
6.Room rates in private hospitals are very high.
7.Many private clinics/hospitals encourage to pay bills in cash and also give forged bill.
8.In place of generic medicines, branded costlier medicines are recommended.
9.People with health cards, medical insurances extra also lured into unnecessary treatments, procedures and surgeries.
10.Doctor's compensation is linked to revenue contribution in many private hospitals.
11.The grievance cells in private hospitals are terrible
12.Customer complaints are not addressed properly
13.Patients are asked to get admitted even if they don't really need admission and room.
14.Patients stay in the hospital is unnecessarily prolonged for additional revenue.
15.Unnecessary tests are ordered just to increase revenue.
16.Consultation fees in private hospitals is very high.
17.Room rent in private hospitals is similar to 4 and 5 star hotels.
18.The rates of tests are also very high in private hospitals compared to the outside labs.
19.Patients with insurance are charged more compared to the others.
20.Patients from EWS section entitled to treatment are discouraged by making them buy expensive medicines and do extensive paperwork.
21.There are long waiting times to see the doctor.
22.Appointment system is not up to the mark in many hospitals.
23.There is corruption in most departments at Government hospitals.
24.The disposal of various kinds of wastes is a serious issue.
25.Medical devices used for patients are charged at MRP or even above MRP.
26.There is no transparency in billing at most hospitals where prices of medicines, consumables and services are not itemised. more  

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Hospitals should be categorized based on the facilities available, expertise of Doctors, ratings provided by patients, etc. Based on the category they should be allowed to charge within a certain range. A national portal should be provided for patients to rate their experience and complaints. more  
Please request ICMR to issue a standard guidelines for treatment at home or hospital.....for general public....if they have the protocol at par with international practices followed in the recent past....as there is no specific drug....

On Sat, 23 May 2020 20:45:35 +0530 LocalCircles Manager wrote
> more  
Govt forces Parle to write MRP - Rs.5 on its Gluco buiscuits. It sud, similarly prescribe MRP for every test and every medical procedure where thousands are looted.
Despite many hospitals in a city , they are all in competition to charge more (instead of less as may be presumed by competition commission of India). more  
Unfortunately the status of private hospitals including the well known best hospitals are extraordinarily bad. With no grievance redreassal possible, with no court cases possible by individual against the system, with complete inaction by the governments (whether Congress, UPA I, UPA II, NDA, or any other, hospitals have a field day.

1. In the year 1991, my brother-in-law, a liver cirrhosis case, was administered a nephro-toxic drug, a sedative, and he succumbed to renal failure. This was by CMC Vellore. Can you imagine, such basic error at CMC? Nothing was possible. Court case was not advised, since CMC will hold on for years until your finances are compromised, you can not withdraw the case, and now they file a defamation suit against you.

So, in reality the victims party has no recourse to a remedy.

2. In the year 2000, my wife had her IV bottle empty (for how long? dont know). But, she succumbed to cardiac arrest within 24 hours. Since, she was otherwise very seriously ill, and was not expected to survive too long I did not follow up. Also because I was under trauma. This happened in the ITU ward of the CMRI, Alipore, Kolkata.

I dont expect the present government will be able to resolve these issues. more  
Govt should fix the upper limits on the basis of category of Hospital, eg some of the hospital spent money on the facility and quality of services provided so keeping in mind Govt may declare 2-3 category prize band for COVID treatment including tests. And Govt should allow most of the Pvt hospitals to start this facility becaz corona is spreading. more  
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