I cannot give you the formula for success, but I can give you the formula for failure - which is"Try to please everybody.
Herbert Bayard Swope (1882- 1951), American Journalist, 3-Time Pulitzer prize winner
People ask me what I worry about with Obamacare.
This task is complicated by the complexity o Obamacare – a collection of mandates, public insurance expansions, and regulations that affect different groups of Americans in different ways, at different times. Try to explain these differences and the convoluted morass to a skeptical American public.There are always two sides to any health reform policy formula ingredient - Accountable Care Organizations, bundled payments, quality reporting, price transparency, pay for performance , electronic medical records, or high deductible and consumer-directed health plans. All of these policies require computer competence, security and privacy safeguards, and protection against hackers and identity thieves.
Washington has shown little competence in stamping out Medicaid-Medicaid fraud. Fraud consumes 15% of the $1 billion CMS budget. As Peter Drucker observed, “The best we get from government in the welfare states is competent mediocrity. What is impressive is the administrative incompetence.” Finally, evidence is mounting that government control of computer technologies is out of hand, as seen in abuses and leaks of the National Surveillance Agency, and the Chinese hacking into our corporate and government systems.
As Alfred E, Newman said in Mad Magazine, “What, Me Worry?” You bet I do. I worry about the competence of the Obama administration to enforce the employer mandate, verify eligibility for insurance subsidies. require employer-provided policies to cap employees' out-of-pocket costs, and establish the computer systems needed to make Obamacare a workable reality.
Tweet: Ingredients of a CMS failure to control Obamacare fraud are all there, and its computer programs are not yet ready for prime time.