• Gaywallet (they/it)@beehaw.orgM
    link
    fedilink
    arrow-up
    5
    ·
    edit-2
    8 months ago

    To me it sounded like they were saying ACO and VBC are both bad. In fact, it kinda felt like they were attributing their creation to UHG as some kinda malicious moneymaking scheme.

        • sadreality@kbin.social
          link
          fedilink
          arrow-up
          2
          ·
          8 months ago

          I know how to read an abbreviation… Looking to understand what they actually do within the corruption scheme

          • Gaywallet (they/it)@beehaw.orgM
            link
            fedilink
            arrow-up
            1
            ·
            8 months ago

            I’m not sure how to answer your question in a manner which doesn’t touch on the same points the author brings forward. Was something they said unclear or are there parts of my comment which you’d like me to elaborate upon?

            • sadreality@kbin.social
              link
              fedilink
              arrow-up
              2
              ·
              8 months ago

              What job do they actually do?

              You suggested they are not corrupt. I am trying to understand where you are coming from?

                • sadreality@kbin.social
                  link
                  fedilink
                  arrow-up
                  1
                  ·
                  8 months ago

                  https://en.wikipedia.org/wiki/Accountable_care_organization

                  https://en.wikipedia.org/wiki/Value-based_health_care

                  You attempted to discredit author of the article over him being critical of these concepts but are unwilling to explain how they benefit patients. I see promises being made but I also see steep administrative costs also, which is the critical defect in the US healthcare system.

                  Based on wiki pages, it appears that these are just another model that serves as band aid on fundamentally flawed system with a lot room for corruption to continue.

                  • mozz@mbin.grits.devOP
                    link
                    fedilink
                    arrow-up
                    1
                    ·
                    8 months ago

                    This is the essential flaw in having the whole system designed and operated by people whose specialty is extracting the labor value from other people’s effort, and skittering away with it like an 1800s movie villain with a big sack of money with a “$” on it.

                    😢

                  • Gaywallet (they/it)@beehaw.orgM
                    link
                    fedilink
                    arrow-up
                    1
                    ·
                    edit-2
                    8 months ago

                    She tried to paint ACOs as the brainchild of UHG specifically, as a means to extract wealth from an existing system. That ignores the current state of ACOs and the many which are able to reduce overall healthcare costs and in many cases reduce administrative costs. Yes, the US healthcare system is broken. Yes, it’s very simple to view this as a “band aid on a fundamentally flawed system” and yes, there’s still room for “corruption to continue”. None of that is in conflict with what I stated. I merely took issue with the framing that UHG is responsible for the creation of ACOs and VBC as that’s just factually incorrect, and it suggests the framing that ACOs are not providing any value to the system or being useful in any way- this is contradicted in the article I linked as well as plenty of other published literature by organizations which are notably not UHG.