- 1,896
Really? This is their "solution" to decreasing costs?
HHS issues ACO guidance | BenefitsPro
Get a freakin' clue.
HHS issues ACO guidance | BenefitsPro
Get a freakin' clue.
Accountable Care Organizations?
- Thread starter stuy119
- Start date
- Staff
- #2
- 630
Sounds like - HMO to me. Except for:
If things work out, medical providers would share in the savings. If the experiment fails, they're likely to get stuck with part of any additional costs.
WTH does that mean. If the patient doesn't die? I'm confused.
If things work out, medical providers would share in the savings. If the experiment fails, they're likely to get stuck with part of any additional costs.
WTH does that mean. If the patient doesn't die? I'm confused.
- Thread starter
- #4
- 1,896
Yeah, I don't see how that's any different than the current system.
The plan involves accountable care organizations, which are networks of hospitals, doctors, rehabilitation centers and other providers. Meaning - Restrictive network, like an HMO, but very small like a local group of hospitals and doctors.
They would work together to cut out duplicative tests and procedures... Meaning - Rationed care and Restrictions - all services under one roof, controlled by one group of doctors/facilities. No self-referrals to specialists outside the local group of physicians/facilities. Originally meant to be logical (like making sure you don't receive 2 MRI's), it actually severely limits your ability to get a second surgical opinion or to go outside the ACO's very small medical group to attain care at a facility that you believe is in your best interest (like the Mayo Clinic, for instance).
prevent medical errors, and focus on keeping patients healthier and out of the emergency room. Meaning - the old HMO system
If things work out, medical providers would share in the savings. Meaning - financial incentive to withhold or delay care. If they save money by not providing the services to you, the doctors & facilities share in the financial savings. The doctors & hospitals actually partly serve as an insurer, because they are taking on risks & rewards based on the amount of care you are likely to receive. It's been done before, and those medical groups that did it before very quickly realized they should get out of the insurance business!
If the experiment fails, they're likely to get stuck with part of any additional costs. Meaning - if you cost the group too much money, they should either get you off their list of enrollees, or else delay your testing or medical care until you die. Otherwise, your continued life support is taking away their nickel.
They would work together to cut out duplicative tests and procedures... Meaning - Rationed care and Restrictions - all services under one roof, controlled by one group of doctors/facilities. No self-referrals to specialists outside the local group of physicians/facilities. Originally meant to be logical (like making sure you don't receive 2 MRI's), it actually severely limits your ability to get a second surgical opinion or to go outside the ACO's very small medical group to attain care at a facility that you believe is in your best interest (like the Mayo Clinic, for instance).
prevent medical errors, and focus on keeping patients healthier and out of the emergency room. Meaning - the old HMO system
If things work out, medical providers would share in the savings. Meaning - financial incentive to withhold or delay care. If they save money by not providing the services to you, the doctors & facilities share in the financial savings. The doctors & hospitals actually partly serve as an insurer, because they are taking on risks & rewards based on the amount of care you are likely to receive. It's been done before, and those medical groups that did it before very quickly realized they should get out of the insurance business!
If the experiment fails, they're likely to get stuck with part of any additional costs. Meaning - if you cost the group too much money, they should either get you off their list of enrollees, or else delay your testing or medical care until you die. Otherwise, your continued life support is taking away their nickel.
Your insight is enjoyable. The statement was not as innocuous as it sounded.
- 8,448
September 10, 2016
As with virtually every other aspect of the Unaffordable Care Act, the ACO model is on life support. Dart Mouth, the premier Accountable Care Organization.. the one that got the ball rolling, has announced that it's dropping out of ObamaCare.
Story: Health-law model drops out of Obamacare program | The Seattle Times
ac
As with virtually every other aspect of the Unaffordable Care Act, the ACO model is on life support. Dart Mouth, the premier Accountable Care Organization.. the one that got the ball rolling, has announced that it's dropping out of ObamaCare.
Story: Health-law model drops out of Obamacare program | The Seattle Times
ac
Only a few billion dollars, but it doesn't matter, because we would have given it to Iran anyway.
CBO: Cost of ObamaCare subsidies climbs by 11 percent | TheHill
CBO says $660 Billion in 2016 alone, just on APTC's...
Don't forget, in 2013, the CBO estimated the **10 YEAR** cost, 2014-2023, to be $1.075T. https://www.cbo.gov/publication/44176
This one year will cost more than half of their 10-year total, and costs are only going up...
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