You might not agree with them, but you can’t ignore them. The history of health care in the United States is filled with those who identified the system’s failings and offered new, unproven ideas. Is it time for a single-payer system? Are accountable care organizations unworkable? Will CMS go under? Read on.
“As a result of the exchanges and the transparency they bring to the marketplace, insurers’ profit margins will be squeezed under the [Affordable Care Act],” says the industry watchdog. That means that “not-for-profits may benefit more than the for-profits do from health care reform.”
We could be back in the 1990s, with providers learning the hard way that they don’t know how to measure — and therefore manage — risk. ACOs hate the concept of utilization management “so much they don’t even want to admit to themselves that management of utilization is necessary.”
As the November elections loom, the Affordable Care Act remains politically explosive. Nevertheless, 4 experts say, it’s time to start taking the next steps — toward a society whose policies truly help people keep their health.