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Re:Why conventional wisdom on health care is wrong (a primer... by chiefalchemist on Saturday October 19, 2024 @10:49AM (#41888083)
Who and how is that going to be monitored and enforced? What's the punishment? Cost-of-doing-business fines that the market only ends up paying anyway?

I'm not disagreeing w/ the theory of your proposal. I haven't - yet? - seen how it can actually work.

Re:Why conventional wisdom on health care is wrong (a primer... by nradov on Saturday October 19, 2024 @12:30PM (#41888789)
For Medicare ACOs you can read about monitoring and enforcement here.

https://www.cms.gov/priorities/innovation/innovation-models/...

For ACO agreements between provider organizations and commercial payers, the parties can negotiate any contract terms they like. The agreements are usually confidential but payers aren't naive about this stuff and are fully aware of how to protect their financial interests against cherry picking by providers.