4 ms·
Who and how is that going to be monitored and enforced? What's the punishment? Cost-of-doing-business fines that the market only ends up paying anyway? I'm not
by chiefalchemist 2y ago
Who and how is that going to be monitored and enforced? What's the punishment? Cost-of-doing-business fines that the market only ends up paying anyway?
I'm not disagreeing w/ the theory of your proposal. I haven't - yet? - seen how it can actually work.
- nradov 2y agoFor Medicare ACOs you can read about monitoring and enforcement here. https://www.cms.gov/priorities/innovation/innovation-models/aco https://www.cms.gov/priorities/innovation/innovation-models/... For ACO agreements between provider organizations and commercial payers, the parties can negotiate any contract terms they like. The agreements are usually confidential but payers aren't naive about this stuff and are fully aware of how to protect their financial interests against cherry picking by providers.