The ‘Value Pivot’: The CAPG Story

by Gregg A. Masters, MPH While HMOs have been around since President Richard Nixon – yes a Republican who embraced the vision of ‘universal coverage‘ for Americans via the HMO Act of 1973 – healthcare stakeholders in the volume fueled fee-for-services (FFS) ecosystem have been mostly change resistant with some exceptions. Nixon’s sanguine call for […]

A Day in the Life of an ACO Chief Executive

By Gregg A. Masters, MPH Transforming a $3.2+ trillion dollar economy where approximately 1 in 5 dollars of GDP finds its way into the healthcare financing and delivery ecosystem is no small challenge. Decades of variably branded health policy initiatives from HMOs and PPOs to their arguably derivative reincarnated ‘brethren’ ACOs all presented with the […]

What, What? ACOs Not ‘DOA’?

by Gregg A. Masters, MPH When the Affordable Care Act passed in March of 2010 and the law’s many moving parts analyzed by the ecosystem stakeholders including operators, health wonks and patient advocates many weighed in that ACOs were doomed to fail. They were just too ‘tepid’ to make a material contribution to the volume […]

Meet the Next Generation ACO Cohort

by Gregg A. Masters, MPH As announced in ‘Next Generation ACOs: A Deep Dive Series‘ we’re launching a multimedia (blog, internet radio, social media and community tweetchats) programming schedule that will focus on the accountable care industry with specific deep dives into select participants in the cohort admitted by the Center for Medicare and Medicaid Innovation. Written versions […]

Next Generation ACOs: A Deep Dive Series

by Gregg A. Masters, MPH* Since ACOs arrived in 2012 courtesy of the Section 3022: Medicare shared savings program, under Title III, Subtitle A, Part 3 of the Affordable Care Act (ACA) as the ‘new, new thing’ layered into a complex healthcare ecosystem peppered with more or less successful public/private efforts to restrain healthcare inflation, promote greater […]

The Next Generation ACO: Accelerating the Transformation from Volume to Value

by Gregg A. Masters, MPH  You may have heard the expression: ‘The more things change, the more they stay the same.’  Jean-Baptiste Alphonse Karr But what does this really mean? One interpretation is ‘change is the only constant‘ or alternatively not much new here – just old ideas rediscovered? Yet if you frame the assertion to measure […]

Webinar: Next Generation ACO Model – Overview and LOI Information

By Gregg A. Masters, MPH Today marks the end to the eight year reign of President Barack Obama and the birth of the Trump Administration tenure.  Yet, so much in the health policy and reform domain remains unclear and on the come. Since the passage of the Affordable Care Act (ACA) in March of 2010 the […]

The Quality Payment Program

by Gregg A. Masters, MPH In our healthcare innovation economy from the private sector to material modifications of public programs including Medicare and Medicaid there is a massive effort to identify and enable sustainable delivery and financing schema to stem the treasury bleeding and inch however incrementally towards ‘universal coverage’. Ideological talking points opposing ‘Obamacare‘ […]

On the ‘N of 1’ As a Standard for ‘Accountable Care’

by Gregg A. Masters, MPH When I penned the post, ‘CTE on the Accountable Care Agenda? Junior Seau it’s latest victim?‘ in 2012 my intention was to draw a circle around seemingly unrelated events now finding increasing conversational gravity in the emerging ‘population health‘ zeitgeist where social determinants of health are valued as strategic grist […]

The NextGen ACO: Another Round Opens

by Gregg A. Masters, MPH The Centers for Medicare and Medicaid Innovation has announced the results of its ‘continuous learning‘ commitment model wherein ‘field reports‘ including provider comments and open door inputs are materially incorporated into tweaks of the Medicare Shared Savings Program (MSSP) as risk is progressively adopted by participating ACOs. This ‘new round’ iteration […]