A work in progress
To hear the CMS spin is to hear what a success the accountable care organizations are (“CMS names ACOs leaving Pioneer program,” ModernHealthcare.com, July 16). The reality is you wouldn’t have groups leaving the program if that were a fact. The fact is, quality initiatives are gaining and outcomes are improving, mostly because of better communications and health data information the groups have been reviewing from themselves. As far as savings, it’s not happening. The costs of adding systems, on top of the systems in place, the extra reports, who determines the savings, and how they will actually be shared—it’s all an outcome in motion and yet to show significant return for the investment made (hard cost and staff extra time costs). A few million dollars in reported savings is a long road from the trillions being spent in healthcare. But hey, it is better than a stick in the eye.
Dennis Gerber St. Augustine, Fla.