Obamacare aims to connect the holes and doctors around the holes. How? Through comprehensive reform and a series of steps: forming Accountable Care Organizations (ACOs) where hospitals, primary care physicians, and specialists, working in tandem, prevent disease, promote wellness, coordinate care of chronic disease for a define Medicare population, and thereby save Medicare money, hence the alternative name for ACOS “Accountable Savings Organizations.” The ACOs or ASOs will do this through govenment command, control, and communication structures which will standardize and homogenize hospitals, physicians, and health plans through protocols, guidelines, and data-driven outcome analysis..
My reasoning was that because of delays , imissed deadlines,lsoaring costs, and a 65% unpopularity among the citizenry, it would surely falter. Furthermore, its comprehensive integrated programs, depend on its central pillars working together. The pillars, were crumbling one by one because of ailed promises, underfunding, digital unpreparedness, and Republican opposition.
On the other hand, physicians resented giving up autonomy by becoming employees, and many missed the hospital staff camaraderie, the intellectual stimuli of interns and residents, and the dull routines of being trapped in the office doing physicals, rectals, pelvic, and routine procedures.
Many physicians, particularly those over 50, were having a hard time getting accustomed to the rigors and restraints of data entry and loss of productivity induced by entering data on electronic health records.