MA Inches Toward ACO Model
How much further these experiments go depends as much on politics as on economics.
The current push for payment reform is being driven by Governor Deval Patrick (D), who is up for re-election in November. His chief opponent, Republican Charlie Baker is no stranger to healthcare. Baker, former CEO of Harvard Pilgrim Health Care, names lack of transparency as the prime suspect in the high cost of medical care. He is viewed as favoring less government oversight than Patrick as a means toward controlling healthcare costs.
Regardless of who wins in November, controlling healthcare costs hinges on three things that must happen more or less simultaneously:
- Implementing some form of payment reform
- Defining guidelines for ACOs
- Negotiating the balance of power among government, providers, & payers
No doubt someone from the governor's office—and someone from the Baker campaign—will be dialed in to the OIG listening session next week on legal issues associated with ACOs.
Cora Nucci is the Digital Associate Editorial Director for HealthLeaders Media.
- CMS Sets 2014 Pay Rates for Hospital Outpatient and Physician Services
- FDA hopes hospitals will switch to newly regulated pharmacies
- Not-for-Profit Hospitals Find Opportunity Amid Uncertainty
- The 5 Biggest Healthcare Finance Trouble Spots
- The Most Polarizing Topics in Healthcare IT
- New G-Code to Pay Doctors for Broad Array of Non-Face-to-Face Care
- Why You Should Involve Patients in Nursing Handoffs
- How CPOE Will Make Healthcare Smarter
- States Rejecting Medicaid Expansion Forgo Billions in Federal Funds
- Safety Net Executives Renew Call to Preserve DSH Payments