The rumors are starting to be heard and the rumblings are starting to be felt. Will there be major financial fallout under accountable care and specifically CMS’s regulatory ACO programs?
In last week’s blog, I talked about how a primary care physician, Dr. Smith, changed his behavior, and subsequently his patient’s behavior, maintaining the patient’s health while saving the system $70,000/year. This behavior change was made possible in part by the availability of new tools, information and incentives. But just like in golf, even bad (…)
Our country is blessed with the finest physicians in the world. They are the best trained and have access to the best medical technology and services. You would think we would have a running dialogue around the country celebrating and promoting this collective national asset. Instead, there is a groundswell of complaints. It is heard (…)
The growing reality of health care reform and the cauldron of conflict it creates between the creaking legacy of volume-based reimbursement and new, largely unproven methods of shifting more financial risk to physicians is upon us. A side effect is unprecedented uncertainty and anxiety among American physicians. Decades of investment in education and training followed (…)
Last week’s Time feature “Bitter Pill” raised U.S. health care costs to a new level of public awareness. Regardless of the assertions made in the article, hospitals are an essential component in the health care delivery system in our country.
The ominous declaration of “The Coming Failure of Accountable Care” is creating quite the buzz in accountable care and health policy circles, particularly given that the declaration was made by the highly respected Harvard Business School professor and innovation researcher Clayton Christensen and colleagues in an article that was posted recently in The Wall Street Journal.
A lot of people are talking about accountable care as a cost-control experiment. That assertion misses the triple aim of accountable care: cost, quality, and satisfaction. Further, satisfaction must include both the provider and recipient of health care services. Focusing on just patient satisfaction is a fool’s errand if we don’t improve the job satisfaction (…)
The Accountable Primary Care Model: New Hope for Medicare and Primary Care
Quickly out of the gate for 2013, Health Affairs featured the theme of Transforming the Delivery of Health Care in its January edition, Arnold Milstein MD’s Code Red & Blue – Safely Limiting Health Care’s GDP Footprint headlined the New England Journal of Medicine, and CMS announced a new wave of 106 additional ACOs to their program.
The Collaborative Payer Model achieves proven results against the Triple Aim Plus One: better health outcomes, lower costs, and improved patient, as well as physician, satisfaction. And it offers valuable lessons for today’s government-sponsored and private-sector accountable care organizations.