Uncategorized

Accountability? Heaven forbid!

At a recent talk, Dartmouth’s Elliott Fisher facetiously remarked that we cannot yet be sure whether accountable care organizations (ACOs) will actually be accountable, caring, and organized. Well, if some providers have their way, they certainly won’t be accountable.

This story by Jordan Rau in the Washington Post relates comments being made as Medicare writes its rules governing the ACOs. Here are some quotes:

[S]ome prominent doctor and hospital groups are pushing for features that some experts say could undermine the overall goal – improving care while containing costs. They’re seeking limits on how the quality of their care will be judged, along with bonus rules that would make it easier for them to be paid extra for their work and to be paid quickly.

Here’s the one I like best:

The Federation of American Hospitals, representing for-profit facilities, goes further, urging that ACOs be allowed to choose their patients. “Providers are better positioned than CMS to determine which of their patients would be appropriate candidates,” the federation wrote.

So, we are happy to be held accountable, but only if we get to choose which patients are part of our network.

And, how about this from the American Medical Association?

The medical association doesn’t want surveys of patient experiences to be used in evaluating ACOs.

Right. What do the patients know, anyway?

And from my soon-to-be-former hospital association:

In the dispute over financial incentives, the American Hospital Association is pushing CMS to let providers collect bonuses early on and in full rather than having some of the bonuses deferred as an added incentive to keep up the good work.

Collect bonuses before you earn them? Of course.

Paul Levy is the President and CEO of Beth Israel Deconess Medical Center in Boston. Paul recently became the focus of much media attention when he decided to publish infection rates at his hospital, despite the fact that under Massachusetts law he is not yet required to do so. For the past three years he has blogged about his experiences in an online journal, Running a Hospital, one of the few blogs we know of maintained by a senior hospital executive.

Livongo’s Post Ad Banner 728*90
Spread the love

11 replies »

  1. Trendy and comfortable shoes are what people want to add into their closet. As a wonderful regarding fashion and function, Ugg boot have carry a craze all around the world. They are fabulous shoes that just cannot only strengthen your appearance additionally keep feet extremely comfortable.This man sets amazing example then again ugg news – attending a problem and taking action. He didn’t presume that someone else would profit the dogs – he didn’t presume how the cracked window was “good enough” – he paid attention anf the husband saved two lives.Look in the effect on this coat, is actually full of college sense. Lengthy T shirt matches using the UGG snow boots and grey long vest. This long T shirt is brimming with British taste with the popular ugg outlet Live on the internet. If you don’t know for you to wear like the following, you’ll be able to can just wear the snow Ugg boots and the pants. They are especially befitting the little girls, as they quite simply can show their perfect leg class. The match of black knit UGG boots, colorful long T shirt and snow pants accessories in British Institute taste will easily make people seem top.Every person who has already ugg boots outlet in their feet will say face-to-face with you devote money all of them and stimulate it in their early days of your life in view of the truth that they, for all time, run squab in catering every costumer within their order. Do not let your spouse get of. Rush for it from now on! You can find rumors that by December this year, lack of supply for the UGG on the market will probably be happening. As well instant, throughout your shopping, you may in all probability end up along jointly with your not-so-type assortment. The understanding at the flipside of the particular is that UGG would like to preserve it is above the earth demand for costumers. So the authority in excess of the fabrication of UGG boots supposed end up being evenhanded.If consider advantage of the opportunity to improve your online presence, it might just get you that dream job you happen to be hoping with regards to. So, here are a few for getting your digital job search information up to par or even just compelling, if you will.Crafting a compelling subject line is critical to using a successful email campaign. Use the 4 styles of subject lines described outlined in this article to entice your readers to open your emails and utilize the valuable content you are sending for them.

  2. Dr. Fisher’s comment reminds me of what I learned in history class about the Holy Roman Empire. Namely, that it was neither holy, Roman, nor an empire!

  3. The questions surrounding why accountability is so difficult for health care and for physicians were discussed in my two blog posts about physician report cards http://ow.ly/3CaGx and http://ow.ly/3CaMq. The call for transparent physician and hospital accountability elicited several comments from providers that questioned why the public needs to know and to hold us accountable. This same topic came up again in my blog post about how clinicians and the patients need to change http://ow.ly/3CaNW.

  4. I’m glad you’re not letting this issue slide. Accountability is essential for growth and improvement, which we always need. Keep the conversation going.

  5. “Dartmouth’s Elliott Fisher facetiously remarked that we cannot yet be sure whether accountable care organizations (ACOs) will actually be accountable, caring, and organized.”
    The money quote.
    Love it.

Leave a Reply

Your email address will not be published. Required fields are marked *