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The Coming Failure of
´Accountable Care´

Wall Street Journal, by Clayton Christensen*

Original Article

Posted By:Pluperfect, 2/19/2013 5:57:53 AM

Spurred by the Affordable Care Act, hundreds of pilot programs called Accountable Care Organizations have been launched over the past year, affecting tens of millions on Medicare and many who have commercial health insurance. The ACOs are in effect latter-day health-maintenance organizations—doctors, hospitals and other health-care providers grouped together to provide coordinated care. The ACOs assume financial responsibility for the cost and quality of the care they deliver, making them accountable to patients. With President Obama´s re-election making it certain that the Affordable Care Act will begin taking full effect next year, the number of ACOs will continue

Comments:
*[w/Jeffrey Flier & Vineeta Vijayaraghavan]

      


Post Reply  

Reply 1 - Posted by: Spidey, 2/19/2013 6:15:30 AM     (No. 9184314)

We already ave a doctor shortage in this country which is going to get worse as Obamacare phases in.It´s almost a wate of time going to a doctor anyway because they won´t give you what you really need.Sure,they´re more than happy to give you blood pressure medicine or cholesterol drugs which fall within standard procedure to avoid lawsuits.

The government should have just put more funding into clinics than force everybody on health insurance.24 hour clinics should replace emergency rooms for the most part.

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Reply 2 - Posted by: Jethro bo, 2/19/2013 6:30:05 AM     (No. 9184322)

And we will start to allow nurses to do the things doctors do. So what is the incentive to be a doctor? Why not spend less time training and at a lower cost and just become a nurse? If cost is the issue, then allow the consumer of healthcare to have the responsibility of that cost. If people can go to a doctor for less than it cost a tank of gas, then demand will increase. If we had food insurance, does anyone thing we all wouldn´t being buying steak? After all, someone else is paying for it. Why do we expect folks to act any different with healthcare?

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Reply 3 - Posted by: Crosscut, 2/19/2013 6:53:14 AM     (No. 9184336)

I will despise Democrats forever for what they have done to America.

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Reply 4 - Posted by: 3XALADY, 2/19/2013 7:10:32 AM     (No. 9184355)

Recently saw my family physician and orthopedic doctor and they both said they have become nothing more than glorified typists. Have to make sure all the little boxes are checked and all the questions are asked and answered. Both work hours of overtime and take work home with them. Both are very dispirited. Orthopedic doc said he is at the office sometimes until past 1100 at night because he can´t afford a transcriptionist anymore. And I don´t think it´s going to get any better.

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Reply 5 - Posted by: Teleologicus, 2/19/2013 8:19:05 AM     (No. 9184453)

Leftist schemes can never succeed because they are grounded upon a fundamental misunderstanding of how people actually think, feel and behave. It is no coincidence that such fantastic castles in the air are invariably the work of petit-bourgeois academics and bureaucrats with little experience of life and few real accomplishments to their credit.

The coarse, crude, insulting materialism of these simplistic carrot and stick attempts to manipulate behavior from above is breathtaking. It plainly reveals the underlying values and beliefs of the architects of such projects to others, but not, it appears, to themselves.

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Reply 6 - Posted by: MisterDickens, 2/19/2013 8:29:32 AM     (No. 9184470)

Doctors and hospitals must find ways around the travesty, and they will. I´ll help them in any way I can. Just say no might be a good start.

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Reply 7 - Posted by: Rather Read, 2/19/2013 8:34:45 AM     (No. 9184480)

My doctor, whom I very much like, spends more time typing than talking. I don´t really blame him - got to get all the forms ready for The Man.

Happily for me, I am 62 and in excellent health. I take no medicine at all.

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Reply 8 - Posted by: oh-heck, 2/19/2013 10:41:56 AM     (No. 9184730)

Part of the hidden agenda of Obamacare was to cripple Medicare Advantage while taking the money that had been the incentive for creating the program and use it fill some of the budget holes of Obamacare.

For those that don´t know the Medicare Advantage program is based on healthcare providers contracting to provide care for individuals for a year. The provider is responsible for preventing fraud. If the cost of care for the group-year cost less than contract, the savings are shared between provider and government. To make there programs more attractive to the clients (and to make the cost more predictable), the often include vision and dental care. For the 20% of senior on very limited budgets, this is the preferred health care choice. Because there is a contract for care, there is no problem with access to care.

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