By Gregg A. Masters, MPH One of the more popular downsides associated with the growth and dispersion of ACOs in provider [primarily of the ‘institutional variety’ aka hospital/health system] consolidation and asset concentration, is the risk of anti-competitive pricing leverage. You know, the ‘my way or the highway’ approach of certain providers with near or actual …
Author Archives: Admin
Accountable Care and Social Media: Can it connect the silo’s?
By Gregg A. Masters, MPH In an article posted on KevinMD by the always learned and insightful George Lundberg, MD*, the question was posed: can ACO’s re-invent the American Health Care System? A rather compelling and timely question given the fragmentation and vertical silo’s characteristic of American health care finance and delivery, and the ‘patient-centric’ enhancements …
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SCOTUS, ACA & ‘Mis-informed’ Justices
By Gregg A. Masters, MPH As suggested yesterday while ‘the case has been submitted’ per Chief Justice Roberts upon conclusion of Day 3 oral arguments over the constitutional challenges to the Patient Protection and Affordable Care Act, the war to shape the national narrative is well underway. The blogosphere is ripe with buzz over the …
SCOTUS Consideration A ‘Pyrrhic Victory’ Regardless of Ruling
By Gregg A. Masters, MPH Ladies and Gentlemen, start your engines! A P/Y/R/R/H/I/C victory is defined by Wikipedia as: (/ˈpɪrɪk/) is a victory with such a devastating cost to the victor that it carries the implication that another such victory will ultimately cause defeat. An army of professional, neo-professional and outright ‘amateur’, including skin in …
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SCOTUS and ACA Day 3 Part Deux: Medicaid Expansion
By Gregg A. Masters, MPH Here is the audio for ‘Florida vs. The Department of Health and Human Services’. Here is the transcript. We are actively searching out the submitted briefs and will post them once found. [Editor’s Note: I invite anyone who may have direct access to post them here in the comments section; …
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SCOTUS Audio and Transcript: National Federation of Independent Business v. Sebelius
By Gregg A. Masters, MPH Day 3 is no disappointment. The core argument by Florida AG Clement is that if the individual mandate is ruled unconstitutional, the entire Patient Protection and Affordable Care Act, absent the severability clause, must fall. Judging from the robust engagement of AG Clement, including an interesting line of questioning from …
The Affordable Care Act: Day 3 at SCOTUS
By Gregg A. Masters, MPH It’s deja vu all over again! The theater circa 2010 at the Senate Finance Committee via the reconciliation process that delivered unto us the Patient Protection and Affordable Care Act, the framework enabling the accountable care industry, is in play again this time at the Supreme Court of the United …
SCOTUS and the ACA: Day 1
By Gregg A. Masters, MPH Perhaps the hearing of the new century thus far? The Supreme Court of the United States takes up the challenges submitted with respect to the Patient Protection and Affordable Care Act. From the social media ‘journalism domain’, two hashtags received the predominant volume of tweets tagged to the event; they …
ACO Deep Dive Session at this Year’s Health Datapalooza
By Gregg A. Masters, MPH This just in from the Centers for Medicare and Medicaid Innovation and HDI Forum III: The CMS Innovation Center is helping plan one session of this two-day event. An ACO “deep dive” will demonstrate how Accountable Care Organizations can make effective use of claims data through innovative software services and …
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Aetna teams with Hoag Orthopedic on bundled payment initiative
By Gregg A. Masters, MPH Leveraging up from the Integrated Healthcare Association’s (IHA) work (and others) in the bundled payment domain, @Aetna announced yesterday that in association with partner health information technology vendor @McKesson_HIT, their work with Hoag Orthopedic Hospital (aka @HoagOrthopedic) in Newport Beach, California. Bundled payment a child of the DRG payment system and long …
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