Ability to self-refer to Mayo with Traditional Medicare
I have TRADITIONAL/ORIGINAL Medicare which allowed me to self-refer to Mayo Clinic. (People with Advantage plans have difficulty going outside of their network.)
I just received notice from my primary care clinic that my doctor is participating in a program within Medicare called "Accountable Care Organization, a Medicare Direct Contracting Entity (DCE). DCE is defined as a group of doctors, hospitals, and other healthcare providers who agree to work together to keep you healthy.
Apparently, the intention is to change the Traditional Medicare model based on "fee for service" to "quality of care" and one is assigned a network. Medicare has said it plans on transitioning all Traditional Medicare beneficiaries into such networks by 2030.
ANYONE FOLLOWING THIS CHANGE?
What happens to those of us who have doctors at Mayo Clinic because our networks lack expertise, technical capabilities and surgical capability to treat us? And what happens to Mayo research capabilities without sick patients from Medicare?