Friday, April 13, 2012

Health Reform Law Implementation and All That Jazz,  The Chicago Way

Come on, Babe
Why don't we paint the town?
And All That Jazz

Lyrics,  Chicago, The Musical, 1996

April 13, 2012-  As the health care world awaits the Supreme Court decision on the health law in June  and the election results in November,  the Obama administration is pushing ahead to implement the various provisions in the law as fast as it can.

·        It has just announced  27 new organizations, many physician led,  that may become Accountable Care Organizations (“ACOs Multiply as Medicare Announces 27 New Ones, April 10, Kaiser Health News).

Medicare Shared Savings Program ACOs
Est. Beneficiaries
Accountable Care Coalition of Caldwell County, LLC
Lenoir, NC
Accountable Care Coalition of Coastal Georgia
Ormond, FL (Serving beneficiaries in GA and SC)
Accountable Care Coalition of Eastern North Carolina, LLC
New Bern, NC
Accountable Care Coalition of Greater Athens Georgia
Athens, GA
Accountable Care Coalition of Mount Kisco, LLC
Mount Kisco, NY
Accountable Care Coalition of the Mississippi Gulf Coast, LLC
Clearwater, FL (Serving beneficiaries in the Mississippi Gulf Coast area)
Accountable Care Coalition of the North Country, LLC
Canton, NY
Accountable Care Coalition of Southeast Wisconsin, LLC
Milwaukee, WI
Accountable Care Coalition of Texas, Inc.
Houston, TX
Morristown, NJ (Serving beneficiaries in NJ and PA)
AppleCare Medical ACO, LLC
Buena Park, CA
Arizona Connected Care, LLC
Tucson, AZ
Chinese Community Accountable Care Organization
New York, NY
CIPA Western New York IPA, doing business as Catholic Medical Partners
Buffalo, NY
Coastal Carolina Quality Care, Inc.
New Bern, NC
Crystal Run Healthcare ACO, LLC
Middletown, NY (Serving beneficiaries in NY and PA)
Florida Physicians Trust, LLC
Winter Park, FL
Hackensack Physician-Hospital Alliance ACO, LLC
Hackensack, NJ (Serving beneficiaries in NJ and NY)
Jackson Purchase Medical Associates, PSC
Paducah, KY
Jordan Community ACO
Plymouth, MA
North Country ACO
Littleton, NH (Serving beneficiaries in NH and VT)
Optimus Healthcare Partners, LLC
Summit, NJ
Physicians of Cape Cod ACO Description of Organization
Hyannis, MA
Premier ACO Physician Network
Lakewood, CA
Primary Partners, LLC
Clermont, FL
RGV ACO Health Providers, LLC
Donna, TX
West Florida ACO, LLC
Trinity, FL
Source: Centers for Medicare and Medicaid Services.

·        And the Obama administration has diverted $500 million to the IRS to implement the health law.  This money is to be provided outside the normal appropriations process.  The IRS is responsible for enforcing key provisions  of the law,  including the individual mandate; collecting new fees and taxes on drug companies,  device makers,  and health plans;  and making sure state health exchanges provide the subsidies for low income people who cannot afford to pay for insurance; and in general, implementing the Medicaid mandate, which could also go down with the Surpreme Court decision.
Never mind the opposition. The Chicago way is to push aside, ignore, or discredit anything or anyone who gets in the way related in any way to the health care law.
Tweet:  The Obama administration is pushing ahead to implement key provisions of the health law even through the Supreme Court may turn it down.


Anonymous said...

Apparently the Connecticut way to distort and engage in ad hominem attacks.

Richard L. Reece, MD said...

" Ad hominem", according to my dictionary. is appealing to people's emotions and prejudices rather than their ability to think. It is an expression often used by the elite to mock conservatives, who presumbably cannot think grand government thoughts.

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