The ACO: Seen One? You’ve Seen One…

A/C/O Accountable/Care/Organization According to the Centers for Medicare and Medicaid Services (CMS) an Accountable Care Organization (ACO) is defined as: …groups of doctors, hospitals, and other health care providers, who come together voluntarily to give coordinated high quality care to their Medicare patients. While the goal of such broadly cast and some may say overly […]

The Medicare Shared (ACO) Savings Program – A Tale of Transition

By Gregg A. Masters, MPH In pursuit of the no longer optional ‘triple aim‘ and as once suggested by industry innovator Richard Merkin, MD the founder and CEO of Heritage Provider Network, the ‘gold’ in the ACA may be the programs and outreach of the CMMI. But we’re not obsessed with acronym’s in healthcare, right? So […]

Three Days in Scottsdale: Unbundling the Triple Aim?

By Gregg A. Masters, MPH With the simultaneous running of the 6th Annual mHealth Summit (follow #mhealth14), Population Health Alliance [PHA] Forum (follow #PHAforum) and Institute for Healthcare Improvement [IHI] (follow #IHI26Forum) I am reminded of the oft quoted Don Berwick, the then Administrator for CMS channeling from his tenure in healthcare both as a clinician and […]

Vetting the ACA’s Impact on Health Insurance Operators

by Gregg A. Masters, MPH In contrast to the comprehensive ‘go live’ implementation of ‘RomeyCare’ in the Commonwealth of Massachusetts, the phased (and some would say diluted if not ‘fatally’ compromised) implementation of the Affordable Care Act (ACA) has been muted via a staggered on-boarding schedule of its various component parts and further selectively waived […]

ACO Alignment Summit

by Gregg A. Masters, MPH Day one of the ACO Alignment Summit kicked off in Alexandria, Virginia with excellent presentations from Diwen Chen, Executive Director, Payment Innovation and Accountable Care, Dignity Health, and Michael Donahue, MBA, Vice President, Network Development and ACO Activities for Eastern Maine Healthcare System (EMHS). Dignity Health a hospital system founded […]

Brookings: ‘Big Issues for ACOs Going Forward’

On October 20, 2014 the Engelberg Center for Health Care Reform hosted a half day forum to assess the latest evidence on accountable care, discuss strategies to overcome unique ACO challenges, and provide an overview of accountable care reforms. Panel participants included:

Population Health, Social Determinants & the ‘All Hands on Deck’ Race to Matter

by Gregg A. Masters, MPH Population Health Alliance (PHA) Executive Director and current Board Chair Fred Goldstein and I just finished chatting with Rain Henderson, the CEO of the Clinton Health Matters Initiative (CHMI) a project of the Clinton Global Foundation. Rain covered quite a bit of ground from the mission of the Foundation to it’s […]

The State of Accountable Care: Evidence to Date and Next Steps

by Gregg A. Masters, MPH So I registered for the webcast version of this Brookings event titled: ‘The State of Accountable Care: Evidence to Date and Next Steps‘ which noted at 9AM start time. My assumption was Pacific time, so when I dialed in (really logged onto twitter to monitor the webcast hashtag #ACOfuture), the […]

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 […]