Wednesday, February 26, 2014

Affordable Care Act policy proven Ineffective

"Health-policy experts often talk up the notion of a "patient-center medical home"—in which a medical practice actively manages patients' chronic conditions to improve their health and avoid hospitalizations—as the ideal model for transforming the U.S. health-care system.

But a study of one of the earliest and largest medical-home pilots found that after three years, patients' health improved in only 1 of 11 measures. There was no change in hospital or emergency-room use, and no significant cost savings."


"There are folks who believe the medical home is a proven intervention that doesn't even need to be tested or refined. Our findings will hopefully change those views," said Mark W. Friedberg, a researcher at RAND Corp. and lead author of the study, published Tuesday in the Journal of the American Medical Association.


February 26th 2014 Wall Street Journal

Two thoughts here.  One, can you teach an old dog new tricks?  Two, at what point does any and all intervention pale to decades of neglect and / or medical care that either covers up the symptoms or removes the offending organ leaving the system unable to ever function efficiently?

When will we come to the realization that Health is an inside job and that Doctors are there to consult with regarding our health not magicians that wave a wand and everything is wonderful again.
There is very little evidence available to bolster the "Patient Center Medical Home" Model.  And if someone does show it has validity, they cheated.

 Dr Dave!

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