Monitoring the birth of an industry
Some have suggested that ACOs are a new and improved as in ‘consumer friendly’ version of their managed care predecessors – HMOs. Editor’s Note: For an excellent historical overview on the genesis of the American sick-care industry, check out ‘Health Care Coverage in the United States: A Brief History.‘ As an ‘HMO lite’ derivative of …
Continue reading “We Don’t Need No Stinkin’ Gatekeepers: Oh Really?”
On the anniversary of the launch of the Florida Association of ACOs and the vital role of MSOs in supporting the operations of disruptive business models chasing the sustainable healthcare ecosystem I had a round two conversation with Nicole Bradberry, President and Chief Operating Officer of Orange Health Solutions and CEO of the Florida Association …
In the physician directed and emerging ‘accountable care’ space, few have the depth and range of experience, operating success, learning curves and business model diversity than the collective enterprises associated with the vision and tenacity of Richard Merkin, MD – physician, philanthropist and visionary. In fact, with Davita’s 2012 acquisition of Healthcare Partners into it’s publically …
Continue reading “Innovations in Healthcare Delivery: A Brookings Merkin MedTalk Series”
Why Clinical Integration is Essential for the Future of Independent Physicians Guest post by Ben Humphrey, MD, CPE, MGO Healthcare Consulting (1,2,3) We’re past the tipping point and are proceeding headlong into new market-driven accountability for quality, cost and value. As these large-scale changes progress, physicians who want to thrive and be positioned for long-term …
Continue reading “Healthcare Change is Not Coming. Healthcare has Changed!”
By Gregg A. Masters, MPH The clock is ticking and the CMS continues its community outreach via their series of National Provider Calls on the application process for ACOs interested in submitting for the Medicare Shared Savings Program. The deadline for the class of 2015 is approaching with the next call scheduled for Tuesday, April …
Continue reading “The Medicare Shared Savings Program: Class of 2015”
By Gregg A. Masters, MPH This is the fourth year in row that I have participated in the largest annual gathering of parties in interest to the health informatics ecosystem. From payor to provider to regulator to vendor to the patient and/or consumer of healthcare services, there is always much flare to consider, discard or assimilate. …
By Gregg A. Masters, MPH Last June I had the honor or moderating a panel on ‘unlocking innovation in patient engagement’ in an ACO World at MedCity News’s ENGAGE conference. Joining me on the panel are: Libby Webb, Director, Product Management, Athenahealth, Lanie W. Abbott, APR, Senior Communications & Outreach Coordinator, EMHS Population Health Management …
By Gregg A. Masters, MPH In the narrative matters department and following CMS’s press release on January 30th, 2014 of the ‘interim financial results for select Medicare Accountable Care Organization (ACO) initiatives, an in-depth savings analysis for Pioneer ACOs, results from the Physician Group Practice demonstration, and expanded participation in the Bundled Payments for Care Improvement …
Continue reading “More than Half of ACOs ‘Save Money’ Only 1/4 Bonus Providers”
By Gregg A. Masters, MPH 2014 has kicked off to a challenging pace and doesn’t look to let up any time soon! Over at Health Innovation Media where we follow health innovation from ‘idea to business model’ including accountable care platforms, ‘apps’ or infrastructure plays, Dr. Pat Salber, CEO of early mover in the ‘rewards …
By Gregg A. Masters, MPH CMS has announced another round of certified ACOs participating in the Medicare Shared Savings Program effective for January 1, 2014. The complete list is available here. One observation I’ll make is Universal American (UAM) seems to remain active in building a national footprint of managed ACO collaborations. Their risk sharing …
Continue reading “123 ACOs Join the Shared Savings Dance Card”
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