Obama’s “model clinic” is impossible to reproduce under ObamaCare

Obama’s “model clinic” is impossible to reproduce under ObamaCare

Obama has referred to the Cleveland Clinic as a pretty good model for medical efficiency.

Perhaps it is.

But one fact is that ObamaCare (PPACA) apparently forbids the ownership structure that may be part of the "success" !!

During the presidential debate, Barack Obama tried to defend the IPAB – the “death panels” rationing board created by ObamaCare – by comparing it to the renowned Cleveland Clinic. “So at Cleveland Clinic, one of the best health care systems in the world, they actually provide great care cheaper than average,” said the President. “And the reason they do is because they do some smart things. They say, if a patient’s coming in, let’s get all the doctors together at once, do one test instead of having the patient run around with 10 tests. Let’s make sure that we’re providing preventive care so we’re catching the onset of something like diabetes. Let’s pay providers on the basis of performance as opposed to on the basis of how many procedures they’ve engaged in.”

Sounds great! Except… the Cleveland Clinic is a doctor-owned hospital, and those are illegal under ObamaCare. New and expanded doctor-owned hospitals can’t get Medicare certification any more. Construction at some 45 hospitals was actually halted in early 2011 when this provision went into effect.

The ostensible purpose of these regulations was exactly the opposite of what Obama praised the Cleveland Clinic for. Supposedly, physician-owned hospitals order too many tests, thereby running up Medicare costs. Obama’s rhetorical “model of efficiency” is, in legislative reality, treated as a miscreant in need of punishment......

Obama’s “model clinic” is impossible to reproduce under ObamaCare

And it seems some legal challenges have been ongoing.....

Physician hospital organizations are firing back at President Obama’s health care law in the press and the courts, seeking a repeal of what they argue are “exclusionary and unconstitutional” restrictions.

Section 6001 of the health care law effectively bans new physician-owned hospitals (POHs) from starting up, and it keeps existing ones from expanding. It has already halted the development of 24 new physician-owned hospitals and forced an additional 47 to struggle to meet the deadline to complete construction, according to the Physician Hospitals of America (PHA).

PHA and the Texas Spine and Joint Hospital (TSJH) filed suit against U.S. Health and Human Services Secretary Kathleen Sebelius in June. Pretrial arguments have been completed, and the trial began in December in Tyler, Texas......

Physician-Owned Hospitals Fire Back at Obamacare Restrictions

I wonder what the real point is of restricting "physician-owned hospitals" ?

I bet it has something to do with possible lobbying efforts by corporatist outfits that have been taking over the medical care industry ?

Will the big corporate owners be as efficient ?

or just "frugal" ?

reply to post by xuenchen


Strange how something 'illegal' is operating completely legally...

Section 6001 really boils down to the idea that doctors can't exclusively refer patients to hospitals that they own or be compensated anymore than anyone else that shares in that ownership because of those referrals.

I think it's also important to note that the Cleveland Clinic is a non-profit, section 6001 doesn't appear to apply to non-profits.

Originally posted by links234
reply to post by xuenchen

 

Strange how something 'illegal' is operating completely legally...

Section 6001 really boils down to the idea that doctors can't exclusively refer patients to hospitals that they own or be compensated anymore than anyone else that shares in that ownership because of those referrals.

I think it's also important to note that the Cleveland Clinic is a non-profit, section 6001 doesn't appear to apply to non-profits.

Section 6001 of the health care law effectively bans new physician-owned hospitals

I think the law prohibits New physician-owned businesses.

The existing ones can remain open.

They say, if a patient’s coming in, let’s get all the doctors together at once, do one test instead of having the patient run around with 10 tests.

So run tests that may or not be necessary and bill their insurance whether they were needed or not.

Sounds like milking insurance companies to me raising rates because that has to be paid for somehow if the patiences insurances covers it or not.

That is not good for the country.

reply to post by xuenchen

Obama’s “model clinic” is impossible to reproduce under ObamaCare

WELL DUH!!

Everything Obama claims is impossible to do! Weren’t we going to balance the budget and be energy independent by now or something?



Nope! That didn’t work either!

reply to post by xuenchen


PPACA on page 566 shows section 6001 and doesn't mention anything about prohibitions on new hospitals. It's a section specifically written regarding conflicts of interest when it comes to doctors who have a share or a significant share in a hospital.

Originally posted by links234
reply to post by xuenchen

 

PPACA on page 566 shows section 6001 and doesn't mention anything about prohibitions on new hospitals. It's a section specifically written regarding conflicts of interest when it comes to doctors who have a share or a significant share in a hospital.

That's interesting.

I wonder why all the lawsuits ?

The link might be a draft or something ?

Maybe the language was put in near the end.

Confusing...... I'm trying to find the actual pdf of the law itself.

Originally posted by links234
reply to post by xuenchen

 

PPACA on page 566 shows section 6001 and doesn't mention anything about prohibitions on new hospitals. It's a section specifically written regarding conflicts of interest when it comes to doctors who have a share or a significant share in a hospital.

here's more on this:

on page 25 ...

Limitation on Medicare exception to the prohibition on certain physician referrals for hospitals -- Prohibits physician-owned hospitals that do not have a Medicare provider agreement in effect on December 31, 2010 from furnishing services pursuant to referrals made by physician owners or investors (known as “self-referral”). Hospitals that have physician owners or investors and a provider agreement in effect on December 31, 2010 may continue to access exceptions to the self-referral prohibition if certain requirements are met addressing conflicts of interest, bona fide investments, and patient safety issues, as well as new disclosure and reporting requirements. Sec 10601 -- Revisions to limitation on Medicare exception to the prohibition on certain physician referrals for hospitals -- changed dates that were then changed by RB.

RB -- 1106 -- Physician ownership-referral -- Changes to December 31, 2010 the date after which physician ownership of hospitals to which they self refer is prohibited and provides a limited exception to the growth restrictions for grandfathered physician owned hospitals that treat the highest percentage of Medicaid patients in their county (and are not the sole hospital in a county).

PPACA - As of December 10, 2010