Connelly says he believes it's good public policy to have an individual mandate, and credits the law's insurance eligibility reform elements as "well done," but he says the most important threats to healthcare and the economy at large have been ignored. In other words, the "affordable" part of the title of the act, which, as I've written about before, is false advertising.
"The most important thing we needed to do, which is changing the payment model—the law didn't do," he says.
Under the pilot programs that have been enacted, such as value-based purchasing rules, ACOs and Medicare reform pilots, "it would take 15 years to change the payment model," says Connelly.
One of the many problems with healthcare costs reflect the lack of coordination of care and the duplication of services that result, in part, from the fact that many healthcare providers bear little to no responsibility for efficiency, even now, said Geisinger Health System President and CEO Glenn Steele, in an interview conducted prior to the Court's decision.
That lack of responsibility is not the case for health systems that include a payer function, such as Geisinger and many other health systems the Obama administration holds up as examples of efficient care delivery.