Accountable Care Disorganizations

A Commonwealth Fund report on the readiness of 59 health care organizations, members of the Premier Partnership for Care Transformation Readiness Collaborative, moving to become Accountable Care Organizations (ACO) show that all 59 have much work to complete before becoming fully functional.   That’s weird.  You would think that creating a fantasy world would be easy?  The biggest reasons, as stated in the his AMN article, is that the hospitals or health systems are having difficulty locking down their relationships with the primary care physicians.    In fact, the authors of the report could not believe that these organizations were not ready by now.   None of the ACOs have all of the six core components and this “reality check” was described in the article as “crossing a bridge while building it”.  Remember what I said about a fantasy world?.   Interestingly enough, all these groups evaluated were hospital systems and not physicians groups who are having a much easier time reaching ACO fantasy status.   To hospital administrators this must by heresy.  How dare anyone conclude that having doctors on board  is ACTUALLY important for the delivery of healthcare!

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected]