29
Jan
15

Lowered Healthcare Costs? Thanks, ObamaCare

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Tara Culp-Ressler: How The Obama Administration Is Getting Serious About Lowering Health Costs

The Obama administration unveiled an ambitious plan on Monday that will make historic changes to the way that doctors get paid. The ultimate goal is to tie more of doctors’ payments to the quality of care they provide, hopefully driving down the trillions of dollars that the U.S. currently spends on health services every year. The reforms are targeted at Medicare, the government program that provides coverage for Americans over the age of 64. Most Medicare providers currently get paid through what’s called a “fee for service” system. They’re paid a flat free for every test or procedure they perform, regardless of whether those services actually improve their patients’ health. Now, the administration wants to shift the program so that more of its payments are tied to health outcomes.

Essentially, that means providers will be rewarded for keeping their patients healthy, and penalized for unnecessary services that don’t advance that goal. Proponents of payment reform are encouraged by the move — which they see as a serious step toward creating a health care system that’s based on the value, rather than the sheer volume, of services. The Affordable Care Act has been slowly moving in this direction over the past few years. The health law created alternative payment models — called “Accountable Care Organizations,” or ACOs — to incentivize providers to work together to improve patient care and cut down on costs. So far, there’s been some evidence that ACOs are successfully improving the quality of health care for Medicare patients. Some are also starting to generate cost savings. If ACOs save enough money, the participating providers earn bonuses, a goal that about a fourth of of them hit last year.

More here

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134 Responses to “Lowered Healthcare Costs? Thanks, ObamaCare”


  1. January 29, 2015 at 1:58 pm

    Yes thanks President Obama!!

  2. January 29, 2015 at 2:03 pm

    well on our way to universal coverage, unless republicans continue gaining power. bringing this over from the last post:

    this guy in greece shows some promise, but we’ll see what he does now with some power. i’ve been seeing articles such as this one where they’re trying to paint him as some pootin apologist:

    http://www.ibtimes.co.uk/syriza-kremlin-alexis-tsipras-vladimir-putin-are-new-best-friends-1485621

    but i’m not convinced he is yet. his actions now will determine it though. it would make sense if “the news” owners around the world tried to tie him – a communist – to the dictator pootin, to try and alienate this far leftist. the owners certainly do not want a radical liberal succeeding with policies that destroy their beloved “trickle-down” fantasies. russia has been “communist” in name only maybe forever, and certainly not with pootie-poot, so a real communist should recognize this and not cozy up to this sociopath. we’ll see…

  3. 10 No Child Left Behind
    January 29, 2015 at 2:09 pm

    Good Afternoon TODVille!

  4. 15 Nena20409
    January 29, 2015 at 2:11 pm

    Obama! Obama! Obama!
    Nerdy Wonka! NW! Nerdy Wonka!
    🍸
    Congrats Vetivera24 on your Gold ⭐

  5. 17 vcprezofan2
    January 29, 2015 at 2:13 pm

    A very ‘Good Afternoon’ to you, NerdyW! I see I’ve arrived in time to enjoy your healthcare reminder.

    Howdy, CC Irish! Hope your day has some of the white falling thingy that you love.

    ‘Afternoon, TODobots!’

    I’m not sure if the storm has decided to make its way here, but there sure is a lot of white STUFF falling outside. Happily I have no plans to head out anywhere today, and apart from expecting an important call in about an hour, the afternoon is all mine. 😀 😀

  6. 18 Nena20409
    January 29, 2015 at 2:15 pm

    Why?

    I hope they Got covered with ACA.

  7. 19 Gazelle
    January 29, 2015 at 2:22 pm

    WASHINGTON, D.C. – Chairman Thad Cochran (R-Miss.) and Vice Chairwoman Barbara Mikulski (D-Md.) today announced members for the 12 subcommittees that make up the Senate Committee on Appropriations.

    The majority and minority rosters are listed below, along with the chairmen and ranking member designations that were announced earlier this month.

    Agriculture, Rural Development, Food and Drug Administration, and Related Agencies

    Jerry Moran (R-Kan.), chairman
    Roy Blunt (R-Mo.)
    Thad Cochran (R-Miss.)
    Mitch McConnell (R-Ky.)
    Susan Collins (R-Maine)
    John Hoeven (R-N.D.)
    Steve Daines (R-Mont.)

    Jeff Merkley (D-Ore.), ranking member
    Dianne Feinstein (D-Calif.)
    John Tester (D-Mont.)
    Tom Udall (D-N.M.)
    Patrick Leahy (D-Vt.)
    Tammy Baldwin (D-Wisc.)

    Commerce, Justice, Science, and Related Agencies

    Richard Shelby (R-Ala.), chairman
    Lamar Alexander (R-Tenn.)
    Lisa Murkowski (R-Alaska)
    Susan Collins (R-Maine)
    Lindsey Graham (R-S.C.)
    Mark Kirk (R-Ill.)
    John Boozman (R-Ark.)
    Shelley Moore Capito (R-W.Va.)
    James Lankford (R-Okla.)

    Barbara Mikulski (D-Md.), ranking member
    Patrick Leahy (D-Vt.)
    Dianne Feinstein (D-Calif.)
    Jack Reed (D-R.I.)
    Jeanne Shaheen (D-N.H.)
    Chris Coons (D-Del.)
    Tammy Baldwin (D-Wisc.)
    Chris Murphy (D-Conn.)

    Department of Defense

    Thad Cochran (R-Miss.), chairman
    Mitch McConnell (R-Ky.)
    Richard Shelby (R-Ala.)
    Lamar Alexander (R-Tenn.)
    Susan Collins (R-Maine)
    Lisa Murkowski (R-Alaska)
    Lindsey Graham (R-S.C.)
    Roy Blunt (R-Mo.)
    Steve Daines (R-Mont.)
    Jerry Moran (R-Kan.)

    Richard Durbin (D-Ill.), vice chairman
    Patrick Leahy (D-Vt.)
    Dianne Feinstein (D-Calif.)
    Barbara Mikulski (D-Md.)
    Patty Murray (D-Wash.)
    Jack Reed (D-R.I.)
    Jon Tester (D-Mont.)
    Tom Udall (D-N.M.)
    Brian Schatz (D-Hawaii)

    Energy and Water Development

    Lamar Alexander (R-Tenn.), chairman
    Thad Cochran (R-Miss.)
    Mitch McConnell (R-Ky.)
    Richard Shelby (R-Ala.)
    Susan Collins (R-Maine)
    Lisa Murkowski (R-Alaska)
    Lindsey Graham (R-S.C.)
    John Hoeven (R-N.D.)
    James Lankford (R-Okla.)

    Dianne Feinstein (D-Calif.), ranking member
    Patty Murray (D-Wash.)
    Jon Tester (D-Mont.)
    Richard Durbin (D-Ill.)
    Tom Udall (D-N.M.)
    Jeanne Shaheen (D-N.H.)
    Jeff Merkley (D-Ore.)
    Chris Coons (D-Del.)

    Financial Services and General Government

    John Boozman (R-Ark.), chairman
    Jerry Moran (R-Kan.)
    James Lankford (R-Okla.)

    Chris Coons (D-Del.), ranking member
    Richard Durbin (D-Ill.)

    Department of Homeland Security

    John Hoeven (R-N.D.), chairman
    Thad Cochran (R-Miss.)
    Richard Shelby (R-Ala.)
    Lisa Murkowski (R-Alaska)
    Lindsey Graham (R-S.C.)
    Bill Cassidy (R-La.)

    Jeanne Shaheen (D-N.H.), ranking member
    Patrick Leahy (D-Vt.)
    Patty Murray (D-Wash.)
    Jon Tester (D-Mont.)
    Tammy Baldwin (D-Wisc.)

    Department of the Interior, Environment, and Related Agencies

    Lisa Murkowski (R-Alaska), chairman
    Lamar Alexander (R-Tenn.)
    Thad Cochran (R-Miss.)
    Roy Blunt (R-Mo.)
    John Hoeven (R-N.D.)
    Mitch McConnell (R-Ky.)
    Steve Daines (R-Mont.)
    Bill Cassidy (R-La.)

    Tom Udall (D-N.M.), ranking member
    Dianne Feinstein (D-Calif.)
    Patrick Leahy (D-Vt.)
    Jack Reed (D-R.I.)
    Jon Tester (D-Mont.)
    Jeff Merkley (D-Ore.)

    Departments of Labor, Health and Human Services, and Education, and Related Agencies

    Roy Blunt (R-Mo.), chairman
    Jerry Moran (R-Kan.)
    Richard Shelby (R-Ala.)
    Thad Cochran (R-Miss.)
    Lamar Alexander (R-Tenn.)
    Lindsey Graham (R-S.C.)
    Mark Kirk (R-Ill.)
    Bill Cassidy (R-La.)
    Shelley Moore Capito (R-W.Va.)
    James Lankford (R-Okla.)

    Patty Murray (D-Wash.), ranking member
    Richard Durbin (D-Ill.)
    Jack Reed (D-R.I.)
    Barbara Mikulski (D-Md.)
    Jeanne Shaheen (D-N.H.)
    Jeff Merkley (D-Ore.)
    Brian Schatz (D-Hawaii)
    Tammy Baldwin (D-Wisc.)

    Legislative Branch

    Shelley Moore Capito (R-W.Va.), chairman
    Mark Kirk (R-Ill.)
    Jerry Moran (R-Kan.)

    Brian Schatz (D-Hawaii), ranking member
    Chris Murphy (D-Conn.)

    Military Construction and Veterans Affairs, and Related Agencies

    Mark Kirk (R-Ill.), chairman
    Mitch McConnell (R-Ky.)
    Lisa Murkowski (R-Alaska)
    John Hoeven (R-N.D.)
    Susan Collins (R-Maine)
    John Boozman (R-Ark.)
    Shelley Moore Capito (R-W.Va.)
    Bill Cassidy (R-La.)

    Jon Tester (D-Mont.), ranking member
    Patty Murray (D-Wash.)
    Jack Reed (D-R.I.)
    Tom Udall (D-N.M.)
    Brian Schatz (D-Hawaii)
    Tammy Baldwin (D-Wisc.)
    Chris Murphy (D-Conn.)

    State, Foreign Operations, and Related Programs

    Lindsey Graham (R-S.C.), chairman
    Mitch McConnell (R-Ky.)
    Mark Kirk (R-Ill.)
    Roy Blunt (R-Mo.)
    John Boozman (R-Ark.)
    Jerry Moran (R-Kan.)
    James Lankford (R-Okla.)
    Steve Daines (R-Mont.)

    Patrick Leahy (R-Vt.), ranking member
    Barbara Mikulski (D-Md.)
    Richard Durbin (D-Ill.)
    Jeanne Shaheen (D-N.H.)
    Chris Coons (D-Del.)
    Jeff Merkley (D-Ore.)
    Chris Murphy (D-Conn.)

    Transportation, Housing and Urban Development, and Related Agencies

    Susan Collins (R-Maine), chairman
    Richard Shelby (R-Ala.)
    Lamar Alexander (R-Tenn.)
    Mark Kirk (R-Ill.)
    Roy Blunt (R-Mo.)
    John Boozman (R-Ark.)
    Shelley Moore Capito (R-W.Va.)
    Bill Cassidy (R-La.)
    Steve Daines (R-Mont.)

    Jack Reed (D-R.I.), ranking member
    Barbara Mikulski (D-Md.)
    Patty Murray (D-Wash.)
    Richard Durbin (D-Ill.)
    Dianne Feinstein (D-Calif.)
    Chris Coons (D-Del.)
    Brian Schatz (D-Hawaii)
    Chris Murphy (D-Conn.)

    Appropriations Committee Chairman Cochran and Vice Chairwoman Mikulski are also ex-officio members of each subcommittee of which they are not regular members

  8. 22 vcprezofan2
    January 29, 2015 at 2:29 pm

    I didn’t watch this video clip but the title made me think of someone in the village.

    Also, too, so did this tweet.

  9. 25 vcprezofan2
    January 29, 2015 at 2:30 pm

  10. 26 forus50
    January 29, 2015 at 2:33 pm

    I haven’t read all of this but the headline and summary looks good.

  11. 27 GGail
    January 29, 2015 at 2:45 pm

    Good West Coast morning NW & TOD family. Yes, it’s still morning 😃

    NW thanks for keeping GetCovered on our front page!

    Also NW, I watched Empire last night. I like it. Have you seen it?

  12. 30 GGail
    January 29, 2015 at 2:50 pm

    Let’s give a shout out & hello to our girl Tally who is working hard getting folks signed up with healthcare!!

  13. 31 jackiegrumbacher
    January 29, 2015 at 2:52 pm

    Nerdy, you have no idea how valuable these ACA updates are. So many Democrats tell me they don’t understand what’s in the ACA aside from the big things, like no pre-existing conditions or insuring kids until they’re 26. I try to put updates into every one of our monthly newsletters, but it’s like trying to drain the ocean with a teaspoon. People don’t pay attention until their own or their family’s health is involved. Yet they continue to be lousy spokespeople in their community, enabling Republicans to misrepresent the ACA at every turn. Sometimes I think Democrats need cue cards like we used to have for spelling when we were kids. The cards would list the provisions of ACA in the simplest possible terms and people would have to memorize them. I’d even pass out gold starts if they made the effort.

    • 32 Don
      January 29, 2015 at 2:57 pm

      They don’t understand because they don’t want to understand. They would rather believe any old bullshit thrown their way.

      • 33 jackiegrumbacher
        January 29, 2015 at 3:13 pm

        I agree, Don, but I made a vow to keep trying for the one or two people who might actually learn something and go forth in the world as less of a dummy.

        • 34 Don
          January 29, 2015 at 3:18 pm

          My comment was more out of frustration than anything else, we can continue to stress the facts of the ACA but at some point it is up to each of us to get the facts.

  14. 36 No Child Left Behind
    January 29, 2015 at 2:54 pm

  15. 37 No Child Left Behind
    January 29, 2015 at 2:58 pm

  16. 41 No Child Left Behind
    January 29, 2015 at 3:01 pm

    3 American contractors, Afghan national killed in shooting at Kabul airport

    Three American contractors and an Afghan national were killed in a shooting at a military base at Kabul’s airport Thursday, said a U.S. defense official.
    Speaking on condition of anonymity, the official said that the three Americans were civilian contractors, and that another American contractor was wounded in the attack at the Kabul airport.

    WAPO

  17. 42 Nena20409
    January 29, 2015 at 3:01 pm

    • January 29, 2015 at 3:24 pm

      Oh wow, I love that web site. This is so amazing.

      • 44 Dakota
        January 29, 2015 at 6:08 pm

        So do I meta. The principal of this school is amazing.

        • January 29, 2015 at 6:12 pm

          It’s a really interesting place. Now it’s all about the school funding drive, but usually it’s a series of vignettes where the interviewer just walks up to strangers in NYC and gets them to open up. The absolutely intriguing things people say!

          • 46 Alycee (@jazziz2)
            January 29, 2015 at 7:25 pm

            That’s how this fundraiser started — a week or so ago — a random encounter with a kid named Vidal, who PRAISED the tough love and disciple administered by the principal. She disciplines them as needed, but tells them it is because THEIR LIFE MATTERS!

    • 48 idon
      January 29, 2015 at 5:13 pm

      Now that’s what you call a 21st century revolution

  18. 49 Nena20409
    January 29, 2015 at 3:08 pm

  19. January 29, 2015 at 3:10 pm

    This is a thing of beauty. THANK YOU, Sen Whitehouse.

  20. 57 Nena20409
    January 29, 2015 at 3:12 pm

    Condensed to the exact Time.
    WTG Sen Whitehouse.

    • 58 jackiegrumbacher
      January 29, 2015 at 3:27 pm

      Nena, what Sheldon Whitehouse did was a thing of beauty that I hope it’s played again and again to other Democratic Senators and Congresspeople. This is how you do it–you keep your cool, refer to impeccable authority–George Washington no less–and call them out for their idiocy in using a Senate confirmation process to air grievances against a DEPARTING AG. He identified what was going on as soundbites for Faux and, God Bless him, brought the words “civility and decent behavior” into the Senate chamber–concepts long forgotten by that body’s membership. Wish I could vote for him for something–VP maybe?

  21. 59 57andfemale
    January 29, 2015 at 3:17 pm

    • 60 Don
      January 29, 2015 at 3:21 pm

      Well then more pipes, I want a pipe every fucking square inch of North Dakota!

    • January 29, 2015 at 3:53 pm

      WOW, now that the price of oil/gas is plummeting and many of these companies are going out of business I can see ND having a real problem. Who is going to pay for the cleanup with these companies go belly up?

      • 62 57andfemale
        January 29, 2015 at 4:34 pm

        They relied on an industrial bubble that benefits when the rest of the economy is hurting and its growth is stunted due to energy costs. Are we supposed to feel sorry for these people?

      • 63 idon
        January 29, 2015 at 7:15 pm

        I’m hoping it has a VERY negative impact on KKKoch bros oil and gas empire.

  22. 64 Nena20409
    January 29, 2015 at 3:22 pm

  23. 69 Nena20409
    January 29, 2015 at 3:25 pm

    Full Confession, I have not seen it.
    HTGAWM on ABC is my only show during the week

    • 70 GGail
      January 29, 2015 at 4:16 pm

      Nena, it is da bomb! I’m hooked. Now I have to stay up late on Wednesday’s AND Thursday’s. Boy, my Friday’s are gonna be a B! 😀 😀

    • 71 TrumpDog
      January 29, 2015 at 4:34 pm

      My sister just asked me this morning if I’ve seen it. I hadn’t; have been planning to catch up by watching Hulu. I just may start tonite – it’s getting a lot of buzz lately

      PS I really hate that it’s a FOX show grrrrrrrrrrrrr

      • 72 GGail
        January 29, 2015 at 4:55 pm

        When you’re watching the show, you totally forget what station is broadcasting it. It’s so good, the acting, the characters, the storylines, the music, the color, the flavor, the clothes, the dialogue, the “hustle & flow” between Lucius & Cookie. It’s Scandal for “grown folks” because the topics they cover are real!

    • 73 idon
      January 29, 2015 at 7:13 pm

      I don’t watch any shows on Fox Entertainment because it includes Fox Hate Cable “news” I watch #TGIT on ABC. Otherwise I’m tuned to OWN

  24. 74 kid kanga
    January 29, 2015 at 3:48 pm

    bringing over from earlier thread in regards to WI not taking the opportunity to unload Walker like 3 times.

    WI voters are so stupid. the racism/homephobia in that state in the rural areas can be off the charts as well i feel. They have a $2billion deficit due to walkers stupid tax cuts for the rich and well-connected. so to paper that over, he is cutting $300 mill out of WI state schools. stupid. here in MN we have a $1bill surplus that the gov is commited to investing in eductation and infrastructure, not a give away to the rich. Why do people vote R again? so stupid. come back in 10 yrs and WI will feel like another country.

  25. 75 Gazelle
    January 29, 2015 at 4:07 pm

    CASA’s lovely video:
    .

  26. 76 Linda
    January 29, 2015 at 4:12 pm

    Cloture vote on Keystone. 62-35

    Here are the fake Democrats

    Bennet (D-CO)
    Carper (D-DE)
    Casey (D-PA)
    Donnelly (D-IN)
    Heitkamp (D-ND)
    Manchin (D-WV)
    McCaskill (D-MO)
    Tester (D-MT)
    Warner (D-VA)

    We can’t drink oil you jerks. There have been 5 spills/explosion of pipelines so far this year.

  27. 96 GGail
    January 29, 2015 at 4:19 pm

    Sabreen, if you’re lurking, please go back to…I think it’s the last thread, I replied to your comment. I hope it clears up your misunderstanding and I thank you for speaking up – you go girl! 🙂
    Communication and dialogue are so very important in relationships.

  28. January 29, 2015 at 4:27 pm

    What I’ve been working on:

    http://www.aquariusmoon.info/LoungeAnnex/GreatObamaSpeeches.html

    It’s a lot of work, but at least there’s a place to go.

    • 98 forus50
      January 29, 2015 at 4:59 pm

      Nice website Carol!!! As you said, it’s a meteoric rise to the highest office in the land AND with unprecedented accomplishments. It would be interesting to see if ANY president did so much in 10 years or even if you consider the time span since his first elected office in 1997 as a state senator. Just beyond belief really.

      • January 29, 2015 at 5:34 pm

        Obama is simply amazing. Best President of my lifetime, which includes Kennedy. Also the most emotionally balanced one as well. And the cleanest. Think: just about every President besides Carter and Ford had some scandals. A ton of digging in the world of instragram and twitter has revealed nothing.

        That is probably why they call him aloof. By not gladhanding these guys, Obama has avoided even being sideswiped by some stuff. He spends his time with old friends, his family instead of hanging around socialites who would only talk about him behind his back. Of course, there’s no Monica if you do that.

  29. January 29, 2015 at 4:30 pm

    Interesting piece on Netanyahu

    A SPECIAL PLACE IN HELL
    by Bradley Burston
    Something’s in the wind in Israel: A change for the better
    When Netanyahu’s running scared, he doesn’t run smart. Even Israel Hayom’s lead columnist calls his planned trip to address Congress ‘grievous,’ motivated not by concern for Israel, but for electoral gain.

    http://www.haaretz.com/blogs/a-special-place-in-hell/1.639381

    • 101 Vicki
      January 29, 2015 at 4:40 pm

      Good article. I like that it stresses that what Bibi has defeated is Hope. Maybe Hope will make a comeback in the March elections. I sure hope so.

  30. 102 jacquelineoboomer
    January 29, 2015 at 4:47 pm

    Did y’all know It’s Hammer Time?

  31. 103 JER
    January 29, 2015 at 5:00 pm

  32. 104 JER
    January 29, 2015 at 5:04 pm

    ✈ LIVE NOW ✈ Awaiting President Obama’s departure Joint Base Andrews: http://www.cbsnews.com/liveFeed/widget.shtml

  33. January 29, 2015 at 5:35 pm

  34. 117 JER
    January 29, 2015 at 5:37 pm

    7:10 PM – The President delivers remarks at the House Democratic Issues Conference – Sheraton Society Hill – Philadelphia

  35. 118 JER
    January 29, 2015 at 5:40 pm

  36. 120 JER
    January 29, 2015 at 5:46 pm

  37. 121 57andfemale
    January 29, 2015 at 5:48 pm

  38. 122 Roberta in MN
    January 29, 2015 at 5:53 pm

    Watched the airport people de-ice the plane before takeoff. Know how that is living in the North. Safe trip is right.

  39. 125 forus50
    January 29, 2015 at 6:03 pm

    • January 29, 2015 at 6:14 pm

      I swear that Obama has driven more people crazy in the last 6 years than any president I can remember. Folks that were at least semi-functional have gone completely around the bend.
      If I were having problems with my computer, I would take it to the shop first before thinking the Feds had anything to do with it. But I like to think I am somewhat sane.

    • 127 forus50
      January 29, 2015 at 6:18 pm

      That’s so friggin’ funny and could be a metaphor for every Tea Party conspiracy, right? There’s a left wing conspiracy inside every peanut butter jar – you just gotta open it and spread it around!

    • January 29, 2015 at 6:36 pm

      sharyl attkisson: obama’s probably inside my computer. Racism drives people crazy, welcome to the right wing conservative tea party haters.

  40. 129 JER
    January 29, 2015 at 6:16 pm

  41. 130 JER
    January 29, 2015 at 6:16 pm

  42. January 29, 2015 at 6:41 pm

    Belated ENORMOUS thanks for the post, Nerdy!!

    Chat on:

    http://theobamadiary.com/2015/01/29/chat-away-502/


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