A forthcoming report from the Congressional Budget Office shows that more than two dozen demonstrations projects launched by Medicare and Medicaid over the past decade have failed to stop the upward march of health care costs… CBO director Doug Elmendorf … defended CBO’s projections that delivery system reforms like the accountable care organizations allowed under reform would only save a few billion dollars in the coming decade. “The demonstration projects that Medicare has done in this and other areas are often disappointing,” he said. “It turns out to be pretty hard to take ideas that seem to work in certain contexts and proliferate that throughout the health care system. The results are discouraging.”
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