ObamaCare Set Back Major Medical Providers Say it Won't Work

[Bcider]

Oh I wonder why lol. This administration is a joke.

http://news.yahoo.com/s/ap/20110511/...pphu-container

"WASHINGTON – President Barack Obama's main idea for getting quality health care at less cost was in jeopardy Wednesday after key medical providers called his administration's initial blueprint so complex it's unworkable.

Just over a month ago, the administration released long-awaited draft regulations for "accountable care organizations," networks of doctors and hospitals that would collaborate to keep Medicare patients healthier and share in the savings with taxpayers. Obama's health care overhaul law envisioned quickly setting up hundreds of such networks around the county to lead a bottom-up reform of America's bloated health care system.

But in an unusual rebuke, an umbrella group representing premier organizations such as the Mayo Clinic wrote the administration Wednesday saying that more than 90 percent of its members would not participate, because the rules as written are so onerous it would be nearly impossible for them to succeed.

"It's not just a simple tweak, it's a significant change that needs to be made," said Donald Fisher, president of the American Medical Group Association, which represents nearly 400 large medical groups around the country providing care for roughly 1 in 3 Americans. Its members, including the Cleveland Clinic, Intermountain Healthcare in Utah, and Geisinger Health System in Pennsylvania, had been seen as the vanguard for accountable care.

The medical groups say they are worried they will be left holding the bag for losses, that the government has designed things so there is no easy way to tell which patients are part of the program, and that there's no reliable way to adjust for patients who are sicker and require closer follow-up and more expensive treatments.

The deadline for public comments on the proposed regulations is still weeks away, but Fisher said "we needed to get their attention early on, so (the administration) could be thinking about how major changes are needed to make these regulations viable."

Medicare spokesman Brian Cook said the agency is doing extensive outreach to explain and take feedback on the regulations and hat "we will carefully consider this input."

"We are confident that providers' decisions on whether to participate in the program will be made on the basis of the final rule, which will reflect the feedback we receive," added Cook.

Many in the health care industry were silent partners backing Obama's overhaul law, but disappointment over the accountable care rules has put a chill into the relationship. During the congressional debate, Obama extolled Mayo and Geisinger, holding them up as a model of what he wanted to achieve for the nation. Industry criticism of his administration's proposal has been building up for weeks in online forums.

"This has all the hallmarks of a party that nobody comes to, unless there is a serious rethinking," said former Medicare administrator Gail Wilensky, who ran the agency under President George H.W. Bush.

Wilensky said the idea of coordinating care isn't the problem, but "it sounds like (the administration) really overshot the mark."

The regulations are "overly prescriptive, operationally burdensome, and the incentives are too difficult to achieve to make this voluntary program attractive," the medical group association said in its letter. One of the major problems seems to be that medical groups have little experience in managing insurance risk, and the administration blueprint rapidly exposes them to potential financial losses.

Without major changes, "we fear that very few providers will enroll ... and that (Medicare) and the provider community will miss the best opportunity to inject value and accountability into the delivery system."

Private insurers are also experimenting with versions of the accountable care idea, but successful adoption by Medicare is seen as the key to spreading it across the country. The Obama administration had estimated as much as $960 million in savings from the first three years of the program, and bigger amounts thereafter.

Fisher, the medical association head, said he does not think the administration will easily back off its approach, because on paper it saves the government money."

[Azhy]

[MrNippers]

punctuation OP - do you use it!!??

[low blow]

A Public health care system will NEVER be cheaper than a private one.

[BrandoAus]

LmAO WHO GIVES A PHUCK EVERYONE KNOWS UR COUNTRY IS PHUCKED, MIGHT AS WELL JUST ENJOY YASELF.

[vabyss]

A Public health care system will NEVER be cheaper than a private one.

Wat.

Every nation with a public health care system spends less per capita on health care than we do.

Doesn't it bother you to utter tripe completely unsupported by facts? Where is your honor as a man?

[NickPapageorgio]

If I buy a hamburger, I pay up front and know the posted price....

If I get a medical procedure, I consume the good, then am told the price.... pure bull****......

If I could shop around better, that would be beneficial....

[Bcider]

Wat.

Every nation with a public health care system spends less per capita on health care than we do.

Doesn't it bother you to utter tripe completely unsupported by facts? Where is your honor as a man?

The citizens end up paying for it though in terms of longer wait times/ less personalized care.

[BruceBruce325]

Didn't Mitt already try this in Mass and it utterly failed?

I thought obama care was what he based his program on.

[Fennesz]

The citizens end up paying for it though in terms of longer wait times/ less personalized care.

as someone who lives in a country with public health care, its thoroughly hilarious listening to americans making a case against it

[NickPapageorgio]

Wat.

Every nation with a public health care system spends less per capita on health care than we do.

Doesn't it bother you to utter tripe completely unsupported by facts? Where is your honor as a man?

We pay more because we can... Americans pay for the entire WORLDS drug R&D costs................

[wrenny420]

as someone who lives in a country with public health care, its thoroughly hilarious listening to americans making a case against it

as an american with an above average household income, i dont mind paying for healthcare because i get better doctors and treated 10x better than you.

[Bcider]

as someone who lives in a country with public health care, its thoroughly hilarious listening to americans making a case against it

I went to school in Upstate NY, and were friends with many Canadians. They all agreed that our private system is better in terms of actually getting care.

[NormB]

randp for this crap oh and u mad obama killed osama? but yeah ur right, this administration sux, obama is a talkie talkie ****gy ****gy

[BrandoAus]

as an american with an above average household income, i dont mind paying for healthcare because i get better doctors and treated 10x better than you.

As a non-american with a big penis, I don't mind smashing your GF and cumming in her pussy.

[Milo3]

The citizens end up paying for it though in terms of longer wait times/ less personalized care.

No, they really don't brah. Longer waiting times and less personalised care is grossly over exaggerated by Americans.

I've lived in England brah, and the healthcare quality provided by the NHS was top notch. Yes, perhaps I did have to wait a little longer for my operation but there are long waiting times in the US too depending on what surgery.

Until you've lived in both America and a country that provides universal healthcare no-one should comment.

Besides, in England you have the option to take out PRIVATE healthcare too which gives you two options.

Why can't there be two options in America?

[vabyss]

The citizens end up paying for it though in terms of longer wait times/ less personalized care.

Again. Completely baseless lies. Buddy broke his leg while snowboarding in Whistler. Absolutely no wait time, it cost him nothing but $5 for a pain pill prescription. There are people from every civilized nation ON THIS VERY SITE. Do you ever hear any of them complain about the horsesh!t you mentioned?

How do you *******s sleep at night?

READ, FOR F&CK'S SAKE.

Your actions are treasonous.

[Milo3]

as an american with an above average household income, i dont mind paying for healthcare because i get better doctors and treated 10x better than you.

Explain why I had two operations in England done by one of the best surgeons in Europe? How does being a doctor in America automatically make you a better docotor than a doctor in Europe? They've both studied the same thing ffs.

[TylerDurden83]

Wat.

Every nation with a public health care system spends less per capita on health care than we do.

Doesn't it bother you to utter tripe completely unsupported by facts? Where is your honor as a man?

Great facts repped.

But you have to understand there is no point even arguing with these guys. The Healthcare industry sends out operatives around the web to spread this false information that a public health care system is an evil thing.

[LennardiVooDoo]

A Public health care system will NEVER be cheaper than a private one.

Except for the fact that every other western country which has socialized health care has significantly cheaper health care costs.
Strong fail.

[vabyss]

Great facts repped.

But you have to understand there is no point even arguing with these guys. The Healthcare industry sends out operatives around the web to spread this false information that a public health care system is an evil thing.

Aware, but I see it as a service to my country to degrade them for their unforgivable stupidity.

ITT dullards get owned left and right by supported facts.

[SebastianG]

BRB moving to canada.

USA is become a sh.ithold day by day. Good job Government on destroying it (this has been happening since bush came into the office)

[VikingCat]

[mojo85]

The citizens end up paying for it though in terms of longer wait times/ less personalized care.

Wrong. Stop believing everything the News tells you.

Wait times are based on severity of injury/illness. If you have torn acl of course you are going to wait a bit longer then someone who needs major surgery to save their life. Its stupid to not do it this way. Its not based on who has the most money which clearly has not been working as American healthcare is ranked 37th in the world when rankings were last performed.

Health care is not just for the rich.

[MrSilverback]

You people are all delusional thinking its going to be better. It's going to ruin this country. This is coming from someone who's a health insurance broker.

Don't get me wrong...i cannot STAND health insurance companies. They don't pay me. They don't pay doctors. They DEFINITELY don't pay their subscribers. However, watch what happens when this comes into effect. Do you REALLY think you're going to force doctors to accept this coverage? Have any of you actually READ the bill? No.

I go to meetings at least once a month for this. Every month its something new about "Healthcare Reform". Since this bill has gone into effect. So i've been to probably 14-18 meetings so far. This is all supposed to narrow the gap between the upper class and lower class and provide quality care.

It will do neither.

It's going drive the gap apart. Just like India you'll have your "socialized medicine" doctors and your "private sector" doctors. Right next to the public hospital will be a private one. Doctors may only accept cash there. That's where the people who want the best quality care will go. They'll pay out of pocket.

The people on "socialized healthcare" will have to pay $500 before they're even touched by a Dr. This is the initial fee. Furthermore, lots of preventative care is NOT covered.

Lots of ObGyn stuff isn't covered for women. Prostate exams for men. So on.

So then instead of heading the problem off before it becomes a bigger (more expensive) one...they'll just throw treatment at it when its a lost cause.

[amtharin]

Wat.

Every nation with a public health care system spends less per capita on health care than we do.

Doesn't it bother you to utter tripe completely unsupported by facts? Where is your honor as a man?

Great facts repped.

But you have to understand there is no point even arguing with these guys. The Healthcare industry sends out operatives around the web to spread this false information that a public health care system is an evil thing.

Except for the fact that every other western country which has socialized health care has significantly cheaper health care costs.
Strong fail.

Americans spend more because our government does not cap spending. When spending is capped then the citizens pay for it. All of these people talking about how easy it was when they broke their legs ect, are in their 20's or younger, so of course that age group is going to get better care. What about the 60 year old who needs a knee replacement??

[MrSilverback]

QUALITYHealth care will still be just for the rich.

Let me correct you.

Notice how health care companies are raising out of network deductibles and such?

That's to mirror ObamaCare. Be forewarned.

[useralrdyxist]

OP you should run for governor

[Team Punishment]

BRB moving to canada.

USA is become a sh.ithold day by day. Good job Government on destroying it (this has been happening since bush came into the office)

Yea because Canadian health care is amazing


You get what you pay for. Tattoos and health care are a couple of things I don't mind paying a little more for.

[LennardiVooDoo]

Americans spend more because our government does not cap spending. When spending is capped then the citizens pay for it. All of these people talking about how easy it was when they broke their legs ect, are in their 20's or younger, so of course that age group is going to get better care. What about the 60 year old who needs a knee replacement??

This isn't R/P filled with mindless conservatives.
Health care in socialized HC countries >>> American health care, despite your age/race or whatever. 60 year olds get everything they need, as do 10 year olds. Go back to your conservative friends who'll high-5 you for wanting to privatize everything.