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.
- CEO Exchange: Preparing for Population Health
- Advocate, NorthShore Deal Would Create 16-Hospital System
- Interventional Radiology No Longer a Sub-Specialty
- Top Reason for Nurse Turnover: Managers
- CEO Exchange: Pressure is On to Partner, Drive Quality
- Power of price: In South FL and the nation, healthcare costs often are shrouded in secrecy
- Two NY hospitals to offer free hip and knee replacement surgeries for qualifying patients in December
- Hospital mergers may lead to higher prices
- Healthcare data of 1 million NJ patients compromised since 2009
- 3 Strategies for Retaining Millennial Employees