ACO Savings?


How about those ACOs, huh.  It turns out that nearly half of the 114 hospitals and doctor groups that began Accountable Care Organizations under the health law in 2012 managed to slow Medicare spending in their first year!  Hooray!  Wait a minute.   It also turns out that only 29 of them saved enough money to qualify for bonus payments.  🙁

Now, the CMS called the results “very promising”.  Of course they do. They are saving money twice since most of the ACOs are not getting bonuses.  That is a win-win for the government (and soon to be insurance companies, too).

So, how transformative will care be when you work hard to save others money but get nothing in return? Once again, this falls right in line with what Dr. Gurley wrote about PCMH or patient-centered medical homes.

We are being duped.



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]