By Don Crane
Thursday, November 12, 2009
Representatives from California’s physician groups were in Washington D.C last week just before the landmark House vote on HR 3962, the Affordable Health Care for America Act. While HR 3962 still makes significant revisions to Medicare Advantage, we are very pleased that the legislation makes health care more accessible and affordable for millions of Americans by enhancing coverage, promoting preventive care and improving delivery of care through Accountable Care Organizations. The bill is now headed to the Senate where a more intense debate will take place and where our advocacy efforts must now be focused.
During our visit last week, we met with Senators Feinstein and Boxer and other members of Congress to discuss recommendations for strengthening health care reform legislation and accelerating the development of Accountable Care Organizations. As physician groups, we are accountable for the costs and quality of the care we deliver and we know that the delivery model and payment reform are the keys to successfully transforming our health care system. That is why we think the provisions in HR 3962 relating to Accountable Care Organizations are so important.
As we have reported in the past, making ACOs a permanent part of health care reform will help control costs by moving beyond the old model of fee-for-service charges by doctors, and instead advancing “outcome based” medicine, physician networks and the adoption of health information technology. The implementation of a Medicare ACO system will improve care for seniors by providing low cost care, through a network of physicians, who will use the latest technology to provide researched-based health care to their patients. The Congressional Budget Office estimates the savings of a national ACO “pilot program” at $2.3 billion.
As witnessed in the recent House vote, the majority of Congress is now embracing the ACO concept and is looking to
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We sincerely appreciate you sharing your stories with Congress about how important Medicare Advantage is to the quality of your health. Please continue to share your experiences with our nation’s leaders at www.americansforcoordinatedhealthcare.org.
In 2007, Medicare Advantage saved seniors nearly $90 per month or $1000 per year in out of pocket costs. An estimated savings of approximately $7 billion annually. Additionally, compared to traditional Medicare, Medicare Advantage plans can reduce out-of-pocket costs by up to $4,000 annually for patients with the highest healthcare needs.
If Medicare reforms dismantle incentives for coordinated care, seniors will experience significant increases in out of pocket costs - at a time when many seniors have seen their retirement account’s decline by over 40 percent in value — and decreased quality of healthcare.
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