ObamaCare isn’t just taking it in the pants in the courts, but now, the Mayo Clinic says they don’t expect much support for the program from its members:
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.
Personally, I find this hard to believe. Who believes that a government program designed to control 17 percent of the economy would be so complex that a central government couldn’t design a simple plan to meet the needs of 300 million people in fifty different states, hundreds of counties and thousands of cities?
I mean, how complex could it be?
You can see the above graph full size here.
Hat Tip: Weasel Zippers