The Affordable Care Act has stimulated many changes in health care. What is considered good or bad depends upon the viewpoint of the provider and/or patient.
We have not yet seen the details of the Republican plan so Health Train Express will not offer our evaluation. Decisions based upon political rhetoric are at the least foolish, and at the worst dangerous.
It is doubtful if the ACA will be repealed entirely. Significant amendments ill be made. Other than some displeasure in the provider and health insurance industry patients who are able to access care are at less risk of not getting urgent care. Even that presents problems in terms of provider accesss and the high deductible and premium expence for most receiving a partial subsidy. For those who are indigent, they have not expenses.
The progress of the organization being promoted by Medicare and some private insurers is the Accountable Care Organization (ACO). The progress of developing this organization is fraught with many barriers. The ACO is an HMO on steroids.
Perhaps the closest organization to an ACO is the Kaiser Permanente model. The Counsel of Associated Physicians Group recently held a symposium, Better Together Health 2016 Event - Better Together.
The speakers represent a broad spectrum of the view on Accountable Care Organizations.
CHAIR, COUNCIL OF ACCOUNTABLE PHYSICIAN PRACTICES
Robert Pearl, MD, is Executive Director and CEO of The Permanente Medical Group and President and CEO of the Mid-Atlantic Permanente Medical Group. Dr. Pearl serves on the faculties of the Stanford University School of Medicine and Graduate School of Business. Dr. Pearl is a frequent lecturer on the opportunities to use 21st century tools and technology to improve both the quality and cost of health care, while simultaneously making care more convenient and personalized.
SENATOR JOHNNY ISAKSON (R-GA), CO-CHAIR, SENATE FINANCE COMMITTEE CHRONIC CARE WORKING GROUP
GRONNIGEr DEPUTY CHIEF OF STAFF, DIRECTOR OF DELIVERY SYSTEM REFORM AT CMS
Tim Gronniger is the deputy chief of staff and director of delivery system reform at CMS. He was formerly a senior adviser for healthcare policy at the White House Domestic Policy Council (DPC), where he was responsible for coordinating administration activities in healthcare delivery system reform. Before joining DPC he was a senior professional staff member for Ranking Member Henry Waxman at the House Committee on Energy and Commerce, responsible for drafting and collaborating to develop elements of the Affordable Care Act. Before joining the Committee staff, Tim spent over four years at the Congressional Budget Office.
CECI CONNOLLY PRESIDENT AND CEO, ALLIANCE OF COMMUNITY HEALTH PLANS
KAREN CABELL, DO CHIEF OF QUALITY AND PATIENT SAFETY, BILLINGS CLINIC
REGINA HOLLIDAY PATIENT RIGHTS ACTIVIST, ARTIST, AUTHOR
MARC KLAU, MD
ASSISTANT REGIONAL MEDICAL DIRECTOR, SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Better Together Health 2016 Event - Better Together