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Physicians Say NO to Accountable Care Organizations

May 7, 2012 Leave a comment

Physicians in large numbers are rejecting Accountable Care Organizations (ACO). According to a survey by MedScape, physicians believe that these type of organizations are way to risky and are very vulnerable to being defrauded by insurance companies (evidence of insurance companies defrauding Medicare coming in next blog post). MedScape had 3,200 physicians respond to their survey and they came up with the following results:

5% of physicians want to be involved in an ACO

42% say physician alignment is impossible and is primary reason for not moving forward with ACO development

50% believe ACO federal guidelines will have a negative impact on patient care

52% say their income will be dramatically reduced

67% say they will not reduce the amounts of tests and procedures they order in order to comply with federal ACO guidelines

As you can see, there is a very large amount of physician resistance when it comes to ACOs.  In order for the ACOs and other alternative models to be successful, physicians MUST be in support of them. Otherwise, the concept will never work.

Sources:

http://www.medscape.com/viewarticle/761870_5

http://www.fiercehealthcare.com/story/physicians-say-no-thanks-risky-acos/2012-05-04

American College of Healthcare Executives 2011 Survey: Top Issues Confronting Hospital CEOs

February 28, 2012 Leave a comment

The prestigious American College of Healthcare Executives recently released the results of their annual Hospital CEO Survey. 40% of the hospital CEOs responded. For the survey, the CEOs were asked to rank their top issues currently confronting their facility. Financial challenges was the top concern followed by healthcare reform, patient safety, care for uninsured, patient satisfaction, technology, personnel shortages and creating an ACO. ACO and technology were ranked the lowest due to the concern of the high overhead expenses directly associated with them. The issues were then asked to identify specific concerns with in the issues listed above. For analysis purposes, the concerns were divided into three categories: financial challenges, patient safety and quality, and healthcare reform implementation. The results are as follows:

Financial Challenges

– medicaid reimbursement / medicare reimbursement ranked top at 88% of respondents

– Increasing overhead costs (IT, supplies, etc) ┬áranked at 51%

– revenue cycle management ranked at a low 28%

Patient Safety and Quality

– physician engagement in improving culture and quality ranked top at 72% of respondents

– redesigning space and processes to reduce errors ranked at 43%

– medication errors ranked at a low 31%

Healthcare Reform Implementation

– reducing operating costs associated with implementation ranked top at 67%

– study avoidable readmissions to avoid penalties ranked at 45%

– Hiring physicians ranked at a low 34%

You can read more about the survey in the ACHE’s Healthcare Executive Magazine

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