Obamacare will fail: Medicare payment reforms doesn’t work


Beltway Confidential 

Comment by Jim Campbell

Congressman Paul Ryan called Obama out on this financial charade during the so-called Health Care Summit.   Now the CBO has come out and hit Obama over the head with a 2X4. Not to worry, that’s the only safe place to hit him without the possibility of hurting him. 

America doesn’t want or need Obama or his “care.”

That’s my story and I’m sticking to it, I’m J.C. and I approve this message.

byConn Carroll Senior Editorial Writer

END GAME:

The history of containing health care costs through top down wage and price controls, without significantly harming health care quality, is abysmal. If these Medicare bundling payments don’t reduce spending, the only way Obamacare can meet its Medicare cut targets is through either massively cutting doctor reimbursements, making it impossible for seniors to get care, or Draconian rationing.

Late last year, the Obama administration was forced to abandon one of the gimmicks it used to make it appear that Obamacare would reduce the deficit, the CLASS Act. Scheduled to reduce the debt by $70 billion over ten years, the CLASS Act’s failure alone erased more than half of Obamacare’s claimed $120 billion in total deficit reduction.

Yesterday, the Congressional Budget Office (CBO) released another crushing blow to Obamacare’s deficit reduction claims, posting a study showing that pilot programs designed to reduce Medicare spending either had no effect, or actually increased Medicare spending. Obamacare had counted on over $500 billion in Medicare savings. Here is how Obama’s Office of Management and Budget Director Peter Orszag described their importance at the time:

[Obamacare's] pilot programs involving bundled payments will provide physicians and hospitals with incentives to coordinate care for patients with chronic illnesses: keeping these patients healthy and preventing hospitalizations will be financially advantageous…And the secretary of health and human services (HHS) is empowered to expand successful pilot programs without the need for additional legislation.

And here is what the CBO said about Medicare’s bundled-payment pilot programs yesterday:

The disease management and care coordination demonstrations comprised 34 programs…

On average, the 34 programs had little or no effect on hospital admissions. There was considerable variation in the estimated effects among programs, however…

In nearly every program, spending was either unchanged or increased relative to the spending that would have occurred in the absence of the program, when the fees paid to the participating organizations were considered.

The history of containing health care costs through top down wage and price controls, without significantly harming health care quality, is abysmal. If these Medicare bundling payments don’t reduce spending, the only way Obamacare can meet its Medicare cut targets is through either massively cutting doctor reimbursements, making it impossible for seniors to get care, or Draconian rationing.

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4 responses to “Obamacare will fail: Medicare payment reforms doesn’t work

  1. Nothing obama touches works… If you cant see that then theres not much hope that you will see any Obana has failed at..

  2. Here is one example of increased cost. Medicare will not reimburse the physicians for simple office surgical procedures. I’m talking about cutting out a mole, simple cyst, little,quick cuts. You give a little numbing medicine, cut it out, your done. The Dr loses money doing this. No or minimal pay is lost in supplies and cleaning the instruments.
    Instead, the Docs bring them into the operating room which hugely increases the cost. This so the MD doesn’t lose money.
    Your $300 procedure turns into a $2000 procedure with Dr bill, operating room fee, anesthesia fee, and pre operative test fees.
    Obama care needs to be repealed!

  3. I know this is a national concern; however, this is how it has impacted Senior Citizens.

    When Obamacare passed, my brother-in-law moved his practice to Brazil.

    This year, my own Doctor went out of business; so now I have to find another.

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