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Hoyt

(54,770 posts)

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

Reply to magical thyme (Reply #12)

Wed Mar 19, 2014, 03:32 PM

Mar 2014

have to be competitive with other plans in terms of cost and quality.

ACO's can share any savings they get from the government's flat payment among the providers. Personally, I don't see any problem with that, but one can certainly bump up the short-term gain by skimping on care. Long-term, the ACO won't make it -- And neither will an insurance company.

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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