ACO Alignment: The Holy Grail?

By Gregg A. Masters, MPH So one view holds, ‘the more things change, the more they stay the same’ (i.e., it’s deja vu all over again), while the present day, ‘enlightened’ [or perhaps event horizon naive] view suggests, ‘no this time, things really are/can be different’. Just enter the key enabler: [ _________ ] e.g, …

Your Comment is in Moderation: ‘Why ACO Savings Aren’t About Location.’

By Gregg A. Masters, MPH We’re having an interesting exchange over at The Healthcare Blog where Health Care Policy Lead at Aledade, Inc. Travis Broome posted a piece titled: ‘Why ACO Savings Aren’t About Location.’ I chimed in with some ‘contextually pro’ ACO thoughts with some significant push back by industry veteran, author, consultant, economist and …

Farzad Mostashari MD Unbundles the ‘Healthcare Borg’ at Engage

By Gregg A. Masters, MPH I have been following the career of Dr. Mostshari since his tenure at ONC as Director of the Office of the National Coordinator for Health Information Technology. Upon learning of his launch of the startup ACO management company Aledade, we posted some thoughts here and here. Yesterday at MedCity Media’s …

IPA 2.0 the Preferred ACO Chassis?

By Gregg A. Masters, MPH Earlier his morning I received an email from a colleague watching the ACO space for one of his clients. He wanted to draw my attention to an announcement by a Northern Virginia based company that supports physicians in independent practice. He also offered his client as commentator on the significance …

Changing the Mythology of Hospital Led Value Based Purchasing

By William De Marco Hospitals whose only product is acute care will have a difficult time managing in the post reform environment. Many hospitals have ventured into outpatient services competing with physicians. This has proven to be a mistake long term when seeking collaboration with physicians. Many hospitals do not understand how ACOs actually make …

Tom Scully Tutorial & Diagnosis of Medicare Program

By Gregg A. Masters, MPH An excellent ‘tutorial’ of sorts on the Medicare program is provided by Tom Scully, former Bush era (2001-2004) administrator of the Centers for Medicare and Medicaid Services, who opines on the Medicare and Medicaid Acts of 1965. He discusses President Lyndon Bain Johnson’s vision of the bill and looks at …

Key Steps to Successfully Implement Bundled Payment

By Gregg A. Masters, MPH Are you tasked with ‘accountable care’ strategy, clinical integration or even business model innovation at your hospital, health system, medical group, practice or healthcare network? Then you will be interested in this timely session on Bundled Payment. Just consider the history (and on again off again promise) of bundling payment …

‘Eating Glass?’: A DaVita Healthcare Partners Hiccup or Impending Physician Integration Implosion?

By Gregg A. Masters, MPH   When Modern Healthcare somewhat ‘matter of factually’ and rather tersely reported the sudden [unexpected?] change in C-suite leadership at the DaVita acquired foray into physician global medical risk management (i.e., Healthcare Partners) of Craig Samitt, MD, I wondered what back-story this announcement might portend?  DaVita the market leader in End Stage …

Meet Redwood Community Care Coalition: A Health Center Nested ACO

By Gregg A. Masters, MPH Wrapped in the ‘population health’ angle but clearly a unique play in the ACO space – at least from the participation point of view of Federally Qualified Health Centers (FQHC), former CEO Steve Ramsland (a 10% allocated FTE) addresses the audience about their market, approach to ACOs and the deployed healthIT …

Atul Gawande Opines on Post ACA Agenda

By Gregg A. Masters, MPH ‘The debate about whether to provide coverage for healthcare is over…’ Atul Gawande I had a front row seat for this one at the 5th Annual (and last) ‘Health Datapalooza‘, a label affectionately coined by the former ‘athenista’ though always energetic and singularly determined Todd Park, U.S. Chief Technology Officer …