Here's an excerpt:
The Mayo Clinic says it will not be part of a critical piece of national health care reform under the government's proposed rules.(Read the full text of "Mayo opposes key health reform provision".)
The prestigious Rochester clinic is raising questions about accountable care organizations, or ACOs, which are supposed to be updated -- and better -- versions of health maintenance organizations. Approved as part of the 2010 health care law, they are designed to improve care and cuts costs by over half a billion dollars a year.
But Mayo says the proposed regulations from the federal Centers for Medicare and Medicaid Services (CMS) conflict with the way it runs its Medicare operations, which treat about 400,000 patients a year...
Among the clinic's biggest concerns is the government's demand that patients be included on oversight boards that judge performance. Mayo doesn't do that now and is not eager to change.
"You don't have to have a [patient] on the board to make [treatment] patient-centered," Wood said.
Government ACO rules presume that bureaucrats know better how to run their operations better than doctors and hospital administrators whose own reputations are profitability are at stake. This is just another example of the central planner fallacy applied to health care. (Link via D4PC.)
Michael Cannon argues a similar point in his 6/3/2011 piece in Kaiser Health News, "ACO Debacle Exposes Obamacare's Fatal Conceit". (Via PatientPower.)