Wednesday 26 November 2014

ObamaCare critics say the program’s own studies prove its faults



Health and Human Services recently released results from the first two years of the Accountable Care Organization's experience under the Affordable Care Act (ACO). The data arrived with little media fanfare, but critics say that the results show that ObamaCare isn't reducing U.S. healthcare spending.

ACO's project originally had 32 experienced health systems that already made progress toward the ACO model, making them ideal for the study. Thirteen of them have since dropped out because they spent more money with ObamaCare, with 14 citing increased spending altogether in year one and six more on top of the remaining 23 in year two. Only 13 health systems qualified for a bonus in year one and 11 in year two. Overall, per capita spending was just 0.45 percent lower than the usual fees for service Medicare.

After counting in the $64 million in startup costs for the health systems against the only $18 million saved for taxpayers in year one and $43 million in year two, some say that the data appears to show an overall loss. And they say that these pioneer healthcare systems are some of the largest and most prepared for change. Apparently the smaller healthcare systems that need the most help haven't even been accounted for yet.

Opponents say they are particularly distressed that health systems do not always know the patients who belong to their organizations. Reportedly, this means they can't see how they are doing in real time or whether they are achieving any standards mandated by ObamaCare.