What are ACOs?

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Dressed up recycled HMO's.


So basically bad news for practicing docs, right? as in, less autonomy, more control from insurance company/gov't, more corporatization of medicine, etc.. am i right?
 
http://www.nytimes.com/2012/12/01/b...e.html?src=me&ref=general&_r=0&pagewanted=all

The impact of hospital-owned medical practices.

"The recent trend is reminiscent of the consolidation that swept the industry in the 1990s in response to the creation of health maintenance organizations, or H.M.O.’s — but there is one major difference. Then, hospitals had difficulty managing the practices, contending that doctors did not work as hard when they were employees as they had as private operators. Now, hospitals are writing contracts more in their own favor. "

"Doctors at other hospitals also say they have faced pressure to meet financial targets.."

"Other physicians say they are pushed to ignore what is best for patients by referring them to doctors working for the same hospital."

"Some physicians also complain about quotas. Dr. Patricia F. White, an emergency room physician who worked at Baptist Health in Jacksonville, Fla., said that starting in 2010, her compensation was partly calculated based on the number of patients she saw an hour, according to a lawsuit she filed in August against the hospital and Emergency Resources Group, which provided emergency room staffing to Baptist."

And it's not even clear that all of this reduces healthcare costs.
 
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