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ACOs, risk bearing physician groups that contract with payers, are fundamentally incompatible with the goals of single payer health care. ACOs utilize payment models that literally pit a doctor’s and patient’s interests against each other.
These payment models reward the participants of these ACOs for spending less on care, even when more is needed. They don’t belong in a single payer system, which is why #CalCare prohibits any entity other than the single payer from assuming risk via payment contract
Contrary to what some people say, you don’t need risk bearing entities to do care coordination, and I really wish these people would stop saying there is room in single payer systems for this type of middleman. #CalCare principle #7: patient care based on patient need.
That means the foremost consideration should be patient health. Payment models and risk bearing entities turn the relationship between patient and doctor to one of economics, not one of healing. Fundamentally incompatible with making health care a human right
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