re: 9 Pioneer ACOs Expected To Leave Medicare Program
The departing ACO's understand a great deal more than might be obvious. CMS has a mindset that reshapes the reality of US public healthcare as successful policy. the basis of that perspective is that the fundamental data upon which policy and other decisions are made is ripe with error. thus policy formulation, alternative costing models, risk of failure relative to the "downside" becomes guesswork and opinion. the ACO records of care and models for care are inherently different due to the fact that CMS data is corrupted and ACO data is not. thus decisions made by CMS are unsound and largely opinionated while the ACO has to bring a reality into a largely denial environment. Fundamentally, the ACO concept cannot work because CMS cannot see the validity of it.