Dr. Paul Hsieh: Under the new system, the sickest patients will be viewed as the biggest burden on the ACO.
Are you overweight, out of shape, or arthritic? Do you smoke, drink alcohol, or do drugs? Do you have any chronic medical problems? Are you old, have poor eyesight, losing your hearing or memory? Are you at risk of falling?
If the answer to any of these questions is yes, you are the 2011 definition of a leper. Face it, if I am accountable for how well you handle an illness, and for what your outcome is, I cannot afford to treat you unless you are highly compliant, have no other risk factors, and stand a 99% chance of getting well.
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