For nearly 30 years, our group has been conserving healthcare near house in cities and cities throughout the nation. In a single day, Tufts would develop into the second or third largest well being care network in the state, with outposts throughout the Boston metropolitan area. As non-profits, the group hospitals might once more return to their tax-exempt status, saving tens of millions in costs over the approaching years and benefitting from the generosity of native donors. And, by the way in which, the two hospital methods are already a part of the Tufts Medical College coaching program, so there are benefits of better coordination for graduate and undergraduate medical education. All figures below from the Massachusetts Middle for Health Info and Evaluation web site.
The public coverage ramifications are also constructive: Beyond solving the sentimental drawback of preserving Paul Revere’s legacy alive, the proposal offers the potential for the entry of a third vibrant competitor in a well being care market that is trying increasingly more like a duopoly. It would rather close neighborhood hospitals to make sure its tutorial medical heart beds are full even when the cost is way much larger.
They like regional partnerships with prime quality low value institutions like Tufts Medical, and they are the one large for profit hospital community that is pursuing a method that embraces well being care reform, issues like ACO’s and so forth. Since there are comparatively few economies of scale in the hospital enterprise, perhaps a greater approach could be to pressure the dominant instructing hospital systems to return a few of their satellite services to community hospital standing unrelated to the teaching establishment. The appearance of comments does not imply endorsement by the Health Care Renewal bloggers.
Let them then negotiate lower reimbursement charges with insurers which might be extra applicable for group hospitals whereas letting the educating hospitals deal with the comparatively small share of complex cases that they are surely best outfitted to deal with. Like you, I feel that may be a troubling strategy and would reasonably see systems centered on major care/multi-specialty practices and group hospitals. If we would like a technique to scale back our excessive well being prices in Massachusetts the easiest methodology is shifting patients from excessive cost tutorial medical facilities to group hospitals.
I really assume devoted health care for-income have the potential to run things more efficiently than the nicely-meaning-but-typically-bumbling neighborhood-run non profit hospitals of previous. As for ACO’s vs group hospitals, see the remark section of Jeff Goldsmith’s post on Medicare on THCB, the place the locals in Charlottesville have lengthy most popular their neighborhood hospital to UVa, for reasons belonging largely to easy leadership and trust.