Super Brain Idea... (or should I save it for my Blog????) Well you all read it here first as my copyright witnesses and as the Admin Bert will allow me to quote myself, right Bert??? Just properl reference or link back to the ACUB?
Now that docs are being forced to join, or strangled out, priced out, bought out and the like to join ACO's, I believe that all of those docs really are allowed to Collude Openly with any other ACO doc, not just in their practice but in ANY practice across the entire country or at least their own state or market region to say the very least... WHY???? You might ask? I'm glad you asked?
Because it was back in 1948 that the law passed, Mcclaren Fergerson act to first allowed the insurance carriers to collude and share data and info and the like because they needed to be allowed to share supposedly to be able to properly set the "Community Rates".... Sure sounds like some suggested industry created legistlation to me, but hey what do I know, I'm just some dumb youth hockey coach and official right? Too many hits and pucks to the head... (really too).
Well, sooooo, if now docs and their ACO's are supposed to be absorbing risk and defusing that risk, what was until now only the provence of the insurance industry and carriers, then now they too will need the freedom and ability to gain the needed insight and data that can only be gleemed from being allowed to very openly share and talk about rates and costs, risks and the like amoung themselves too, just as any other risk manager, insurance carrier has to do and has the right and the law at their side to do..... Heck now that I think about, we should all create one single, super huge, national ACO of only doctors and no outsiders or hospital wonks (except us Nationalized Citizen Married family members of physicians, right???? :-) and demand that we be allowed to not only work as a group (one tax ID number) and contract as a group but that we need to be allowed to talk and gather data and set prices with any and all other ACO's so that we can properly access and price out the risk just like the insurance carriers....
Heck if we're the ones making the choices now and absorbing and dispersing, and taking the risk upon ourselves, at what point do we no longer need an insurance carrier what so ever???? If they don't access risk and create rates based upon risk, then what function other than taking in money to pass it back to their investors do they have left to perform at all??? And at that point, they have allowed, written themselves out of a job and market, rendering themselves completely Obsolete, and at their own design and lobbying, while attempting to make themselves richer and more powerful... The Screwed themselves with one single new little extra "Gottcha" idea of theirs that has now officially backfired on themselves....
I LOVE It! Thoughts, ideas, feedback???? Night.
Paul
