Health Care Thoughts: Accountable Care Part II
Accountable care organizations (ACOs) are the keystone of PPACA (Obamacare) as far as restraining costs and improving quality.
Early this year there was great excitement about ACOs in the provider community, but the publication of the (first phase) Medicare ACO rules threw cold water on everything.
The rules were at best complicated and convoluted and providers ran for the hills. The administration tried calming the fleeing providers with fast track and modified programs, without much success.
On October 20th the Obama administration published revised Medicare ACO rules. Most of us are still reading and analyzing, but the early response seems more favorable. A more detailed analysis will follow soon.
The administration finally got smarter and announced modifications to antitrust policy so Obama’s DOJ would not be wrecking the work of Obama’s DHHS.
Bad news though, employers and insurers see the possibility of intense ACO activity as anti-competitive.
Tom aka Rusty Rustbelt