Monitoring the birth of an industry
By Gregg A. Masters, MPH I awoke this morning to read the following headline: Hospitals Look To Become Insurers, As Well As Providers Of Care To wit, I ‘tweeted’: OK, it’s reallly ‘deja vu’ all over again! ‘Hospitals Look To Become Insurers, As Well As Providers Of Care’ For complete original article, click here. Mind …
Continue reading “Hospitals Back in Insurance Biz: Good News or Bad News?”
By Gregg A. Masters, MPH Well Avik Roy, aka @aviksroy, who describes himself as: a Senior Fellow at the Manhattan Institute. Healthcare policy writer for Forbes & National Review. Romney advisor. Independent healthcare investment analyst. and the Manhattan Institute, which describes itself as: a free market thinktank dedicated to developing/disseminating new ideas that foster greater economic …
Continue reading “More on the RyanCare v. Affordable Care Act ‘Conversation’”
By Gregg A. Masters, MPH Well the ‘repeal and replace’ health reform war is apparently shifting into overdrive via the selection of Congressman Paul Ryan to join the Romney ticket. This is a content rich conversation with something for everyone as we reconcile ‘ACA-esque’ RomneyCare with the voucher based weapon of mass Medicare destruction aka …
Continue reading “‘RyanCare’ v. ‘The Affordable Care Act’: Bring on the Death Panels for Grandma”
By Michael Planchart, Perficient, Inc. The Journey of a thousand miles towards an ACO begins with one step. Healthcare organizations are coming to realize that the programs stimulated by the ARRA – HITECH Act, Meaningful Use (MU) and Accountable Care Organizations (ACO), require something that they don’t have in sufficient quantities, the desired type or in …
Continue reading “Big Data, Little Information, and the ACO Big Picture”
By Gregg A. Masters, MPH Contextualizing the competitive market uptake given the ‘muddy waters’ aka hand-wringing, hedging, side-stepping or simply the ‘sensible accumulation of more data’ before taking the plunge into the controversial, in some quarters, Medicare Shared Savings Program via an ACO, will get a tad clearer as the deadline for submitting applications to CMS …
Continue reading “Next Round of CMS ACO Deadline Fast Approaching”
By Larry G. Raff, MPH, President, Copley Raff Article originally appeared on Becker’s Hospital Review Magazine Don’t look now, but the face of healthcare in the United States is about to change. The results will be better care, better patient outcomes, lower costs (or slowing of cost increases) and more financially sound providers. It would appear …
Continue reading “No Margin, No Mission or No Mission, No Margin for ACO Success?”
By Gregg A. Masters, MPH According to the Centers for Medicare & Medicaid Services (CMS) as of July 1, 2012 89 new Accountable Care Organizations (ACOs) began serving 1.2 million Medicare beneficiaries in 40 States and Washington, D.C. These 89 new ACOs have entered into agreements with CMS, taking responsibility for the quality of care …
Continue reading “ACO Timeline: Key Dates and Application Process”
By Gregg A. Masters, MPH The clock has been officially ticking for the more mature ACO Pioneer class and recently anointed, perhaps less sophisticated pool of market entrants, in the Advanced Payment Model or standard Medicare Shared Savings Program. Clearly, top of mind strategic questions du’ jour in many board rooms and standing committee conversations …
Continue reading “Standing Up the ACO: A View from Ground Zero”
By Gregg A. Masters, MPH Recognizing that all healthcare is local and typically imprinted with variable leadership DNA, risk maturity levels, provider concentration or segmentation, competitive dynamics, urban v. suburban and rural market considerations, the Centers for Medicare and Medicaid Services (CMS) including the Center for Medicare and Medicaid Innovation (CMMI) refined and offered several …
Continue reading “The Advanced ACO Payment Model: An Unlikely Source of Innovation?”
By Gregg A. Masters, MPH So much of the innovation metabolism witnessed today via social media and seeping into mainstream consideration, seems to be sucked up in the many, perhaps oversupplied and under utilized consumer facing ‘digital health apps’ market. We have yet to see these app driven forces of nature materially unleashed in the healthcare …
Continue reading “ACOs, Accountable Care and the Digital Health ‘App Market’”
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