Darien, Ill. — While no doctor intends to harm a patient, even the most skilled and well-intentioned medical professionals can make mistakes -- mistakes that should never happen. Yet there are medical mistakes so serious, so outrageous, that they are called "Never Events." Insure.com, which owns and operates a consumer information service and companion insurance brokerage service that caters to the needs of self-directed insurance shoppers, examines these cases and their resultant claims in a new report.
The surgical sponge is one of the most common objects left in patients after surgery. A 2003 study by
The situation has become so dire that medical-equipment companies invented sponges with RFID (radio frequency identification) tags in them to closely track their whereabouts.
Health insurers and Medicare have issued payments to physicians for these mistakes for years, according to a report issued by Insure.com. Under the old system, patients and their insurers experienced the added insult of receiving a bill for corrective surgery resulting from medical mistakes. In August 2008, 23 states decided that hospitals can no longer bill patients and insurers for medical mistakes beginning in 2009. There are currently 12 states that already operate this way. The states that won’t allow hospitals to bill patients or their insurers for preventable errors are Delaware, , Indiana, Maine, Massachusetts, Minnesota, Oregon, New Hampshire, Pennsylvania, South Carolina, Vermont and Washington .
In October 2008, the
Now, major insurers such as
"We divided up the Never Events and categorized them under unavoidable hospital conditions versus avoidable hospital conditions. Medicare [guidelines] helped us select what to focus on first: What is the most prevalent and what is easiest to correct," Mark Slitt, spokesperson for CIGNA Healthcare, says in the report.
In January 2008, Aetna announced that it would stop paying for the 28 Never Events named by the National Quality Forum.
For the full article, see "Insurers start to tear up bills for medical mistakes" at
Source: PRNewswire
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