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AMGA Raises Red Flag on 'Burdensome' ACO Rules



The American Medical Group Association warns that a survey of its members has found that 93% would not enroll as an accountable care organization under the proposed regulations, which it characterized as 'overly prescriptive.'



1 comments on "AMGA Raises Red Flag on 'Burdensome' ACO Rules"
Daniel Connelly (5/13/2011 at 8:59 AM)

ACOs are an Obama supported initiative, first started as a concept in 2006. They are basically a rehash of the PPO with a few twists. The ACOs are promoted by Physicians for a National Health Program (PNHP) whose activist list in NJ is the unions. PNHP wants the bill HR676 passed to put everyone on medicare. Why would PNHP, the unions, and Obama liberals promote ACOs, when they really want medicare for everyone? ACOs are designed specifically to fail as an intermediate step to full government run socialized medicine. The following is the brief on how this would happen and I believe that it would happen quickly. 1. Hard working physicians are dazzled with the promises of the ACO. Collaborative, integrated accountable care will decrease overhead, improve care and decrease the work load of physicians. That's the bait. 2. Down play the transfer of "risk" from the insurance companies, the union plans, and the government to the ACO. That's the trap. 3. The ACO becomes the defacto insurance company with all attendant risks, no multimillion dollar reserve or the ability to print money. 4. The physician is torn being the patient advocate and the insurer delayer/denier of claims. Deny a claim (demand for service) and get sued. Be the patient advocate and don't deny claims, the ACO becomes insolvent, bankrupt, financially unviable. 5. The federal government steps in to save the failing ACOs and incorporates them into the national system, along with all the business assets 6. With most of the medical business assets,(people,equipment, offices and hospitals) under federal ownership, a private system will not be allowed to, or be able to reconstitute.