Welcome to DU!
The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards.
Join the community:
Create a free account
Support DU (and get rid of ads!):
Become a Star Member
Latest Breaking News
General Discussion
The DU Lounge
All Forums
Issue Forums
Culture Forums
Alliance Forums
Region Forums
Support Forums
Help & Search
General Discussion
In reply to the discussion: Howard Dean Attacks Important Piece Of Obamacare (updated 3x) [View all]ProSense
(116,464 posts)89. "But, financially, it wasn’t viable."
You've grown boring. From the article:
This will be my last post to you on this topic so please feel free to post another non-responsive or intellectually false reply and deem yourself the victor of this conversation. Anyone reading this can see exactly what I've said, how I've supported it, and my obvious actual knowledge on the topic. They can also see you for what you are.
For PHP, it wasnt all bad news, however. They were able to decrease their readmissions and hospitalizations rates and met all the quality metrics. But, financially, it wasnt viable. They reported shared losses for fiscal year one, which was anticipated, Nielsen says, but another two years before reaping the supposed financial benefits? It proved just too risky. "We just werent able to take enough time to take the risk over three years at this point," Nielsen added. Right now, he said, "Were between bleeding edge and cutting edge."
MedeAnalytics Perez says this is all too common. Stepping down to a shared-savings ACO, he opines, is better than ditching the models altogether, but dont expect the big paybacks years down the road. "Its kind of like saying, 'We were in the English Premier League in soccer, and we didnt do very well, so now were going to play in the United States, or play basketball in Australia versus the NBA,'" said Perez. "So youre still in the game, except Kobe Bryants not going to shoot over you."
This will be my last post to you on this topic so please feel free to post another non-responsive or intellectually false reply and deem yourself the victor of this conversation. Anyone reading this can see exactly what I've said, how I've supported it, and my obvious actual knowledge on the topic. They can also see you for what you are.
What does that have to do with the ACO concept? You're posting analysis of a few financially strapped organizations.
As I pointed otu earlier, the article mentions a number of ways in which they were effective in meeting the objectives. The next paragraphs:
The good news, he points out, is that all of the ACOs did well from a reporting standpoint in terms of quality. Ten of the 32 also produced collective shared savings of $87.6 million last year.
One problem, however, is that a handful of the 33 quality measures pertain to preventive screenings.
"The problem with it, of course, is that preventative care screenings dont give you a short term financial benefit," Perez explained. "Theyre good solid pillars of population health management, but they show the benefits three, four, five years down the road."
Thus, at the end of the day for the Pioneer model, patience does indeed prove itself a virtue, but also a luxury that many cannot afford, as many providers simply don't have the financial or psychological stamina to stick with it and reap the long-term rewards.
One problem, however, is that a handful of the 33 quality measures pertain to preventive screenings.
"The problem with it, of course, is that preventative care screenings dont give you a short term financial benefit," Perez explained. "Theyre good solid pillars of population health management, but they show the benefits three, four, five years down the road."
Thus, at the end of the day for the Pioneer model, patience does indeed prove itself a virtue, but also a luxury that many cannot afford, as many providers simply don't have the financial or psychological stamina to stick with it and reap the long-term rewards.
The article addresses a case study of a specific group of ACOs related to their financial viability. More time and funding is not about the ACO concept. It's about financial stability of a startup organization.
Edit history
Please sign in to view edit histories.
136 replies
= new reply since forum marked as read
Highlight:
NoneDon't highlight anything
5 newestHighlight 5 most recent replies
RecommendedHighlight replies with 5 or more recommendations
Because it's news, and a word in the other OP was detracting focus from the issue.
ProSense
Jul 2013
#2
The biggest problem for me is that Dean (whom I like a bunch) is working for a lobbying/legal firm
Hoyt
Jul 2013
#35
It's also clear to me that you are attempting to attack Howard Dean before he announces
Mr. David
Jul 2013
#20
I think Dean intends to repeal that part of the law to IMPROVE on Obamacare...
Mr. David
Jul 2013
#92
Continuing to attack me is just a good way to solidify your creds as a shill and a bully
Mr. David
Jul 2013
#109
Tying medical care to the GDP in any form sounds bad on the face of it and will be demonized.
freshwest
Jul 2013
#70
The fact that the efforts to repeal this are being pushed by Republicans says a lot.
ProSense
Jul 2013
#75
Bush came into 2004 stronger than Reagan or Clinton - he was at 60% in December 2003
karynnj
Jul 2013
#106
Hey, I loved that howl. But Kerry had a longer track record. He would have been a great POTUS.
freshwest
Jul 2013
#118
Thanks. Dean does not repeat his rationing line, just saying it won't save costs ( false).
SunSeeker
Jul 2013
#136
Always interesting to see the comments from those who can't deal with reality. n/t
ProSense
Jul 2013
#121
Strangely enough, I think Dr. Howard Dean has a pretty good grasp of health policy.
LeftyMom
Jul 2013
#123
Are you trying to mislead people into thinking Dean called the IPAB "death panels"
last1standing
Jul 2013
#126
"Death panels" is what Republican call it. The repeal effort is being led by Republicans.
ProSense
Jul 2013
#127
Prosense: Oh my, Dean attacks "death panels." Any thoughts on the issue?
last1standing
Jul 2013
#128
The LA Times ripped Dean: "No, Howard Dean, Obamacare doesn't ration Medicare"
SunSeeker
Jul 2013
#135