$1 Billion for New Health Care Jobs

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“Applications will be open to providers, payers, local government, public-private partnerships, and multi-payer collaboratives,” the CMS “Innovation” project said. “The Health Care Innovative Challenge will encourage applicants to include new models…to support their service delivery model proposal. All proposals “must be operational or capable of rapid expansion within six months.”

Awardees “will provide regular updates” on their progress and data to CMS. “CMS will also collect from awardees a standard minimum set of performance indicators through its monitoring and coordinating contractors” — federal “check-up” workers.

In other words, CMS will hire more people to act as “independent entities to assist in monitoring the programs…” That means piling on more employees. Create jobs at any cost seems the objective. “Awardees will also participate in learning sessions about how health care delivery organizations can achieve performance improvements quickly and effectively.” Apparently in the way bureaucrats have shown their remarkable prowess in “working effectively.”

The Innovative Center said it has received ideas from many including the Pioneers Accountable Care Organization model.

As the Disease Management Care Blog (DMCB) said earlier this year, “the Shared Savings Program’s Accountable Care Organization (ACO) model is likened to an Edsel, ‘widely considered one of the worst cars of all time.’”

The Disease Management Care Blog updated a parallel ACO program launched by the CMMS Innovation Center on May 17 dubbed “Pioneer.”

This three to five year Pioneer ACO Program is tailored to fast-track health providers organizations that already have care coordination programs up and running to what the Feds believe is the next level: ACO status.  During the first 2 years, the candidate organizations will operate under a shared savings arrangement.  If successful, payments will transition, as the DMCB understands it, to a “population-based payment model” that involves a mix of capitation and fee-for-service reimbursements.

Other insurers also have to join in and the number of their patients has to comprise more than 50% of the total. Much of the payment details are being left intentionally vague so that CMS can be flexible, it said.

At least 15,000 Medicare beneficiaries (or, if rural, 5000) have to be available in order for an organization to participate in Pioneer.  While the default is to assign patients prospectively, the organizations can ask for retrospective assignment.  Patients will not be locked into any network.

In the application process, these ACOs will also need to document how they are prepared to meet the needs and preferences of their patients with “patient centered care.”  Patients will be notified that they can call a 1-800 number with any concerns.  The Innovations Center hopes 30 programs will eventually participate.

And so the bureaucracy builds and jobs are made, despite there’s only borrowed money to pay for them.

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  • tracirollo27

    I know how he feels if I lose my job my insurance is gone too. But people should know about "Penny Health" and also if you dont have means of paying for treatment the hospital will file the form and get reimbursed by medicaid.

  • StephenD

    "One portion of Obama’s $447 million “can’t wait”-pressure for Congress to act on his jobs plan finally won passage in the normally road-blocking Senate."
    Why is there not a rule in the Senate that no new bill can come before it until existing bills are dealt with in a vote up or down?
    Why would the Conservatives let this ride without making noise about it?
    Just because they support helping Veterans is no excuse to go along with letting the 12+ Bills they've presented sit and rot because Harry Reid doesn't want them brought to the floor for debate.
    This is blatant Corruption of the duty and responsibility inherent in the office they hold.
    Harry Reid holding these Bills up, is no better than an announced enemy of the USA.

  • mrbean

    If ever there was such a thing as misappropriation of government funds, this is the poster blurb for it. The new money will be handed out in grants to local governments that work with patients in those federal programs (MEDICAID), a Washington Post article reported.

  • PatriotSara

    Obama is trying to buy off the Military votes. Also, billions have already been thrown at schools, and used to bribe, nudge, doctors and hospitals to go electronic. Obama wants electronic records in place so rationing can get going. When doctors resist, Obama thugs create health care models which diminish the doctor's role. Bad things are happening under the ONC (Office of Nat'l Coordinator) of Seblius' HHS. BIG, big bucks already spent. Check what's going on at your local community college, in health care information technology …

  • PatriotSara

    This is the ONC website. Isn't it so happy and fun! Their big conference last week announcing their great progress with the $30 Billion doled out to entice, nudge providers, poof, all gone now…. no access to the event agenda anymore…. may be an FOIA is in order.. http://healthit.hhs.gov/portal/server.pt/communit

  • Karyn Balezentis

    I am not positive if I am submitting this in the right area, however I am getting ready to move to the U . S . and am seeking to secure jobs in the technology industry. I have a job lead with a enterprise (LTJ Management, LLC, 900 Congress Ave, Suite L-150, Austin, TX 78701 (512) 895-9500) and wanted some views on the best way to investigate them to discover if they might be a good business to work for. I’ve looked on their webpage, but thought somebody here might have a few other ideas on exactly where to look. Thank very much.