Monday, June 20, 2011

Unintended Consequences? What Could Go Wrong?

The theory for ACOs, as they're known, is that hospitals, primary-care doctors and specialists will work more efficiently in teams, like at the Mayo Clinic and other top U.S. hospitals. ACOs are meant to fix health care's too-many-cooks predicament. The average senior on Medicare sees two physicians and five specialists, 13 on average for those with chronic illnesses. Most likely, those doctors aren't coordinating patient care.
This fragmentation is largely an artifact of Medicare's price control regime: The classic case study is Duke University Hospital, which cut the costs of treating congestive heart failure by 40% but then dumped the integration program because it lost money under Medicare's fee schedule.

The smartest person in the world couldn't figure this out.  But that won't stop those who think they are the smartest, most progressive, most compassionate, from trying, due to the fatal conceit and the instinct to tyranny.  Next historical reference - the goose that lays the golden egg is slowing being murdered by these absurd interventions by the State into the affairs of would be, should be, free folk.

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