ACO explosion to come in 2013

[spursncowboys]

http://www.fiercehealthcare.com/story/aco-explosion-come-2013/2012-12-10


About 500 organizations have applied to become an accountable care organization, with the third Medicare cohort to be announced in January 2013, American Medical News (http://www.ama-assn.org/amednews/2012/12/10/bisc1210.htm) reported. Experts say at least 40 percent of them, more than 200, will win the ACO designation.

Read more: ACO explosion to come in 2013 - FierceHealthcare (http://www.fiercehealthcare.com/story/aco-explosion-come-2013/2012-12-10#ixzz2JTQ6QLQc) http://www.fiercehealthcare.com/story/aco-explosion-come-2013/2012-12-10#ixzz2JTQ6QLQc


What an ACO is

What's an ACO?Accountable Care Organizations (ACOs) are groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients.
The goal of coordinated care is to ensure that patients, especially the chronically ill, get the right care at the right time, while avoiding unnecessary duplication of services and preventing medical errors.
When an ACO succeeds both in both delivering high-quality care and spending health care dollars more wisely, it willshare in the savings it achieves for the Medicare program.

http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/index.html?redirect=/aco/

[CosmicCowboy]

That makes sense.

[spursncowboys]

Abstract: The Patient Protection and Affordable Care Act (PPACA) creates federal “accountable care organizations” (ACOs). In theory, ACOs provide financial incentives to health care organizations to reduce costs and improve quality. In reality, given the complexity of the existing system, ACOs will not only fail; they will most likely exacerbate the very problems they set out to fix. ACOs will concentrate more and more power in fewer and fewer organizations, allowing them to become “too large to fail.” Such a system undermines competition and entrepreneurship—the bedrock of innovation and job growth in this country. There is no evidence that supports the use of untested, complex organizational structures to improve quality of care and reduce costs. Creating incentives that focus on achieving higher quality of care, not quantity of medical procedures; providing choices to patients; and allowing real competition among healthinsurance providers (http://www.heritage.org/research/reports/2011/04/why-accountable-care-organizations-wont-deliver-better-health-care-and-market-innovation-will#) is what will truly transform the health care system.

http://www.heritage.org/research/reports/2011/04/why-accountable-care-organizations-wont-deliver-better-health-care-and-market-innovation-will

[spursncowboys]

It does set a profit to have a larger org with fewer patients.

[ChumpDumper]

lol heritage

They should be proud their idea was made law.

[spursncowboys]

http://video.foxbusiness.com/v/2129421188001/health-care-workers-mock-loophole-in-obamacare/?playlist_id=937116503001

[ElNono]

don't knock it till you tried it...

[boutons_deux]

" ACOs provide financial incentives to health care organizations to reduce costs and improve quality"

why does the govt need to provide financial incentives for health care to reduce costs and improve quality? WTF?

[spursncowboys]

don't knock it till you tried it...
You realize I'm under tricare, which is infinitely times worse.

[boutons_deux]

" ACOs provide financial incentives to health care organizations to reduce costs and improve quality"

why does the govt need to provide financial incentives for health care to reduce costs and improve quality? WTF?

so health care without financial incentives, aka "free market", w/o govt intervention, run high costs (but parasite somebody's are pocketing those costs) and low quality? :lol

[ElNono]

You realize I'm under tricare, which is infinitely times worse.

Well, I'm currently under "pay out of pocket", which is infinitely times worse than tricare.

[spursncowboys]

No...No it is not!

No ability to get out of tricare
No ability to see any doctor unless you go to the unit doctor from 545 to 700
Average wait if your child has a fever is 4 hours, regardless of the temp
Soldiers who only have to do the absolute minimum because there is no where else you can go
Average 6 month wait for any kind of specialty ( if you hurt your back, you see the doctor. If he believes you then you go to physical therapy for two months. The PA decides if you are ok or not. If you need to get more treatment and the PA allows it, you then wait six months to see a back specialist, or you could get kicked back to original doctor)
Most Doctors on army posts join the military to pay for their college and have no experience
The only thing that keeps people alive are the civilian nurses. God bless them!

[ChumpDumper]

No...No it is not!So, what's stopping you from paying out of pocket somewhere if you aren't deployed?

[spursncowboys]

The two or three I contacted do not accept people with tricare

[ChumpDumper]

The two or three I contacted do not accept people with tricareWhy would you tell them about tricare if you were paying out of pocket? I'd keep calling. Money eventually talks. And really, something like a child's fever isn't something I think would be turned away from an urgent care center or the like.

[spursncowboys]

No it wouldn't. It would just cost me. The problem is if you do it too often, you can get in trouble. Plus you don't know the wait time until you check in.

But yeah I've left and gone to the local urgent care center.
I'm not too worried about it anymore. I'm out in about a year.

[ElNono]

No...No it is not!

No ability to get out of tricare
No ability to see any doctor unless you go to the unit doctor from 545 to 700
Average wait if your child has a fever is 4 hours, regardless of the temp
Soldiers who only have to do the absolute minimum because there is no where else you can go
Average 6 month wait for any kind of specialty ( if you hurt your back, you see the doctor. If he believes you then you go to physical therapy for two months. The PA decides if you are ok or not. If you need to get more treatment and the PA allows it, you then wait six months to see a back specialist, or you could get kicked back to original doctor)
Most Doctors on army posts join the military to pay for their college and have no experience
The only thing that keeps people alive are the civilian nurses. God bless them!

How is that worse than going bankrupt over medical bills?

The worst case scenario in your case is you need to head to a hospital and get treated. Tricare will take care of paying for that.

[spursncowboys]

Why can't you get coverage ElNono?

[Wild Cobra]

Well, I'm currently under "pay out of pocket", which is infinitely times worse than tricare.
So you want others to subsidize you?

[spursncowboys]

How is that worse than going bankrupt over medical bills?

The worst case scenario in your case is you need to head to a hospital and get treated. Tricare will take care of paying for that.

Because as an American living in America, you get to get your own coverage. Not get ordered to join one

[ElNono]

So you want others to subsidize you?

Where did I say I wanted that?

I said having subsidized care is better than not having it. Agree or disagree?

[ElNono]

Because as an American living in America, you get to get your own coverage. Not get ordered to join one

Or you get not to get your own coverage because you can't afford it.

[TeyshaBlue]

Or you get not to get your own coverage because you can't afford it.

*diagramming sentence*

Dafuc?:lol:lol

[ElNono]

*diagramming sentence*

Dafuc?:lol:lol

You know what I meant :lol

[spursncowboys]

Or you get not to get your own coverage because you can't afford it.
You still have that choice. Granted I have the choice, when my contract is up, to stay in my situation or not. At the present time, I do not.

[ElNono]

You still have that choice.

The market dictates I don't have a choice.

[ChumpDumper]

So you want others to subsidize you?If he's paying out of pocket, he already is.