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magical thyme

(14,881 posts)

12. I think ACO's put quality and outcomes ahead of costs.

Reply to Hoyt (Reply #9)

Wed Mar 19, 2014, 03:29 PM

Mar 2014

Whereas insurance companies don't seem to be concerned about outcomes, providers have to be.

Quality of care, patient safety, preventive care all feed into outcomes. And preventive care also feeds into lower long term cost savings.

Providers have a number of ways to reduce costs other than using the cheapest supplies and materials.

Insurance companies have no incentive to pay for care; once they've got your premium, their sole incentive is to not pay for it.

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Hospital Pharmaceutical Formularies differ from Insurance Company Formularies [View all] magical thyme Mar 2014 OP

It's the same concept theboss Mar 2014 #1

not according to Mineral Man. magical thyme Mar 2014 #3

Since you mentioned my thread, here's a link to it: MineralMan Mar 2014 #2

your first sentence says insurance companies use (the pharmaceutical) formularies, magical thyme Mar 2014 #4

As you say. MineralMan Mar 2014 #6

my interest is *informing* people. nt magical thyme Mar 2014 #8

That's a very good interest. That's also MineralMan Mar 2014 #10

so? and? Sheepshank Mar 2014 #5

not every thread in GD is about President Obama, contrary to some people's opinions magical thyme Mar 2014 #7

yes of COURSE it is Voice for Peace Mar 2014 #11

Exactly!!!!! n/t Sheepshank Mar 2014 #14

Heck, nowadays it's becoming increasingly difficult to differentiate hospitals and insurers. Hoyt Mar 2014 #9

I think ACO's put quality and outcomes ahead of costs. magical thyme Mar 2014 #12

Let's hope so. But insurance companies have to pay out 80% in benefits, and they Hoyt Mar 2014 #13

they do now (have to pay out 80%) and that's a definite improvement. magical thyme Mar 2014 #15

I hope you are right, but as I understand it the Vermont plan is not up and running. Hoyt Mar 2014 #16