The ACO Narrative: ‘Accountable Care 2.0 is a Journey, Not a Program’ or ‘ObamaCare is Toast’?

Earlier today we spoke with Dr Jerry Penso, Chief Medical and Quality Officer for the American Medical Group Management Association (AMGA), and Jim Hansen, Vice President at the Accountable Delivery Systems Institute (ADSI) a unit of Lumeris. To listen to the broadcast click on the ‘This Week in Accountable Care’ graphic below: The context for […]

‘Pioneers Take Arrows While Settlers’ Get the Land?’

At the ACO Summit in Washington DC in June 2012 Elliott Fisher, MD arguably one of the admitted father’s of the ACO movement opined perhaps prophetically from a panel including Mark McClellan, MD and former Health Affairs Editor, now RWJF Senior Health Policy Advisor Susan Dentzer the above wisdom. Today, CMS via the Center for Medicare […]

4th National ACO Summit: Some Contextual Reflection

By Gregg A. Masters, MPH When ‘Acting Administrator’ of CMS Don Berwick gleefully announced the final rule guiding the development and Federal certification of Accountable Care Organizations (ACOs) on October 20th, 2011, he thereby officially unleashed the power of the largest single payer for healthcare services in the United States to simultaneously govern while informing […]

Back to the Future: Another Run for PPMC’s v2.0?

By Gregg A. Masters, MPH This is about as good a framing of the failed run during the 1990s when the physician practice management (PPMC) industry caught the attention of Wall Street and had a 10 year run before a literal collapse of what many considered a ponzi scheme at heart. Bottom line is Wall […]

CMS Call: Tips on Submitting Application for Medicare MSSP ACO

By Gregg A. Masters, MPH There are those trying to figure out how to best ‘build out’ if not perfect (as in the Pioneer class) an ACO, while an even larger pool ‘leaning’ in the direction of playing, are focused on the mechanics of the application process. As with the ‘interface model’ that’s kept the […]

First Round of ACO Results Due Soon

By Gregg A. Masters, MPH Most of us watching and trying to interpret the ACO tea leaves are both challenged yet determined to assimilate a coherent picture of what’s happening at the ‘industry zeitgeist’ level. As noted previously, once you’ve seen one ACO, you seen one ACO. Since there is ample confusion from the differences […]

Meet the Florida Association of ACOs (FLAACOS)

By Gregg A. Masters, MPH I just finished chatting with the instigator of the Florida Association of ACOs (FLAACOS). Nicole Bradberry, CEO. Nicole’s story in part tracks back to the first meeting of the National Association of ACOs (NAACOS), where she got the idea to build a state level resource for identify and share best practices, drive […]

The Medicare Shared Savings [ACO] Program Class of 2014: To Submit, or Not to Submit?

By Gregg A. Masters, MPH Thinking about submitting for participation in the ‘statutory’ Medicare Shared Savings (MSSP) vs. Pioneer, or Advanced payment model ACO programs? While there is certain overlap and confusion, stay tuned for CMS to clarify both in nuance terms and well as key operational indicia. By and large my understanding is this […]

Time for a New ‘IPA’? The Independent Patient Association

By Gregg A. Masters, MPH For some ‘IPA‘ is about conversation and spirit enabled conviviality often in micro-breweries scanning the daily options for consumption. While for others IPA conjures up images and memories of labored if not painful efforts to steward the phased transformation of the American healthcare [non]system from a production oriented fee-for-services silo […]

So What’s with the [ACO] Bundled Payment Thing?

By Gregg A. Masters, MPH It’s interesting to note the more ‘things change’, the more they ‘[seem] to stay the same?’ Let me explain…. In a recent observation by Rob Lazerow featured in the post ‘How Are ACOs Doing‘ the Advisory Board Senior Consultant dubs 2013 as the ‘year of accountable care’. He then goes […]