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Hospitals Scrutinize ACOs



While accountable care organizations hold the promise of retooling the industry into a leaner, meaner,  cost-cutting, care-improving machine, there's still plenty of doubt that they are the way to go.



5 comments on "Hospitals Scrutinize ACOs"
Art As Social Inquiry (4/20/2012 at 2:46 PM)

Recent statistics show that France gets the best outcomes while only spending 11 cents on the dollar. The US, the richest country ranks last of the first-world countries and spends the most [INVALID] 17 cents of every dollar. Just as Eisenhower was inspired by the German autobahns to create a great national highway system, we, in this country, might look to our European brethren to cherry pick the very best ideas for delivery of healthcare. They're doing it better. No, we are not the best in the world when it comes to healthcare - not when 50 mil go uninsured and 25 mil are under-insured. Time to swallow our ego and reinvent ourselves in a really big, creative, brave way when it comes to healthcare. And then maybe we can call ourselves the best in the world.
R Daniel King (4/19/2012 at 7:18 AM)

The present concept of an ACO is providers accepting riskier price controls than FFS and PPS price controls. Centuries of various attempts at price controls have proven that inflation, poor quality, shortages, lost talent, fraud, organized crime, limited access, etc. are deadly consequences. Health care is not immune. ACOs are not the cure and ObamaCare metastasizes the consequences making both dead concepts spending.
DonS (4/18/2012 at 1:23 PM)

Not surprising hospitals arent jumping on the ACO bandwagon. The premise is that an ACO will keep people healthier and OUT of the hospital. To reduce costs, it is not by trimming around the edges, but by eliminating the NEED for the care in the first place. Reducing admissions and bed days is the goal. Hospitals are not eager to see these succeed.
pearlenesilva (4/17/2012 at 6:53 AM)

Hell, at the moment,health care threatens to grow to consume the entire economy of not just the United States, but most of the developed world. If you want to use your go to example of Europe, they too face rising health care costs. Check our "Penny Health" to read articles on how to save money on health insurance.
J. Kuriyan (4/16/2012 at 11:02 AM)

Critical to health reform is the push to get away from FFS and the rewards based on procedures - and yet ACO success in treatment of chronic patients, by and large, is measured in terms of procedures. Triple Aim calls for improvements in population's health - and how do you measure that? It also talks about lowering per capita health - and again, what does per capita cost mean in a diverse population with a large number of chronic patients? Smart providers have good reasons to hesitate befor joining the bandwagon.