The Decline in Physician Ownership Continues Apace

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Chartreuse Wombat

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"Thus, intended or not, value-based payment models tend to favor consolidated organizations, which are more likely to have organizational capacity for data collection and monitoring, including analytics, reporting, and patient engagement or outreach."

A feature, not a bug I'm guessing
 

Add this to the list of the reasons I don't trust the whole ROCR thing. Everything in health care since the passage of Obama care has ultimately been about corporatization, consolidation and increasing the end cost.
 
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Add this to the list of the reasons I don't trust the whole ROCR thing. Everything in health care since the passage of Obama care has ultimately been about corporatization, consolidation and increasing the end cost.

The ACA was intended to destroy private practice in this country, and it has done an excellent job at achieving those aims.
 
The ACA was intended to destroy private practice in this country, and it has done an excellent job at achieving those aims.
Was well on its way before the ACA with Medicare stacking the deck on how hospitals vs PP was paid.

The genesis of the ACA was from Romneycare in Massachusetts and its core was predicated on personal responsibility and getting the freeloaders out of the system. It's a shame they outlawed physician owned hospitals and gave insurance companies that much power but at its initial core that is not what it was about imo

 
Was well on its way before the ACA with Medicare stacking the deck on how hospitals vs PP was paid.

The genesis of the ACA was from Romneycare in Massachusetts and its core was predicated on personal responsibility and getting the freeloaders out of the system. It's a shame they outlawed physician owned hospitals and gave insurance companies that much power but at its initial core that is not what it was about imo


My post was probably a bit hyperbolic, but I do believe that the giveaways to hospital corps in the ACA were intended to increase their power at physicians' expense, which helped them sign on. You're spot on re: Medicare as well. It should not be surprising that government picking winners and losers in a market leads to significant market inefficiencies with increased costs and poorer outcomes.
 
My post was probably a bit hyperbolic, but I do believe that the giveaways to hospital corps in the ACA were intended to increase their power at physicians' expense, which helped them sign on. You're spot on re: Medicare as well. It should not be surprising that government picking winners and losers in a market leads to significant market inefficiencies with increased costs and poorer outcomes.
I feel like the ACA gets turned into a political football which is why I responded to what you said. When you look at the genesis of the ACA through and the core idea of the individual mandate, the political battle lines are hardly clear at all, esp when you see who made the most noise about it after its passage.

Yes there were bad things about it but at its core it was conservativism done right (vs an unfunded mandate like EMTALA).
 
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