a**e
发帖数: 5094 | 1 http://www.businessweek.com/articles/2013-07-16/a-pillar-of-oba
It’s no secret that the Obama administration’s effort to roll out health-
insurance exchanges in every state is turning out to be more challenging
than expected. Its campaign to lower health costs isn’t faring any better.
On Tuesday, the Centers for Medicare and Medicare Services announced
middling first-year results for the administration’s highest profile cost-
control effort: the Pioneer Accountable Care Organization Model.
Obamacare supporters have long promised that Accountable Care Organizations
—groups of hospitals and doctors that tend to large flocks of Medicare
patients, with an eye toward keeping them out of the hospital—would be
integral to bringing down the nation’s health-care costs. ACOs are supposed
to come up with innovative ways of keeping patients in better shape by
focusing on preventive measures while saving money in the process. Under the
plan, the ACOs themselves are to be rewarded with the share of the savings
they generate.
Thirty-two health care provider groups signed up for the pioneer program
intended to promote the new model, but the Centers for Medicare and Medicare
Services said Tuesday that only 13 of them generated enough savings to
qualify for a cut. Two participants actually lost money instead.
The news wasn’t all bad. The pioneers produced better-than-average results
on cholesterol control for diabetes patients. “Overall, we are very excited
about the results,” Patrick Conway, chief medical officer for the Centers
for Medicare and Medicare Services, told the Wall Street Journal. But a
significant percentage of the pioneers weren’t so thrilled, and nine are
slated to exit the program.
It’s much too soon to call the pioneer program a failure. It’s also
premature to say the ACO model is one that will save vast amounts sums of
money. That hasn’t stopped some of the law’s staunchest supporters, who
might want to temper their rhetoric after Tuesday’s | A*******s
发帖数: 9638 | 2 Let's see what happens next. | a**e
发帖数: 5094 | 3 我还看了一篇文章，后来找不到了。分析了CMS的数据，总共节省的钱里面，2/3是MGH,
BWH,BIDMC这三个医院来的。众所周知Harvard这老三家看病花费高，属于地主家把本来
该扔掉的剩饭,热热重新吃就能节约下来的。其他医院的数据，CMS根本不肯发布，可想
而知有多糟糕。而且我们这里，是靠拼命兼并小医院，扩大病人pool，才能把总花费省
下来。ACO基本就是个形象工程，就看政府什么时候承认错误了。
【在 A*******s 的大作中提到】
: Let's see what happens next.
| A*******s
发帖数: 9638 | 4 When Obama finishes his term.
MGH,
★ 发自iPhone App: ChineseWeb 7.8
【在 a**e 的大作中提到】
: 我还看了一篇文章，后来找不到了。分析了CMS的数据，总共节省的钱里面，2/3是MGH,
: BWH,BIDMC这三个医院来的。众所周知Harvard这老三家看病花费高，属于地主家把本来
: 该扔掉的剩饭,热热重新吃就能节约下来的。其他医院的数据，CMS根本不肯发布，可想
: 而知有多糟糕。而且我们这里，是靠拼命兼并小医院，扩大病人pool，才能把总花费省
: 下来。ACO基本就是个形象工程，就看政府什么时候承认错误了。
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