Medicare Open Enrollment: To Dis-enroll or Not? Searching For Answers with an AI Assist

by Gregg Anthony Masters, MPH Some of you may have heard about the whining by UnitedHealthcare’s leadership on a recent earnings call which included the required ‘management’s discussion or operating results and market conditions’ analysis. A BIG WHAAAA! Overfunded since inception and having perfected the art of ‘upcoding‘ (i.e,, severity of illness and intensity of …

Must listen JP Morgan Healthcare Conference Webcasts: @MolinaHealth

by Gregg A. Masters, MPH NOTE: This is the third in a series of ‘Must listen’ webcasts produced at JP Morgan’s 34th Annual Healthcare Conference. The first focused on telehealth sector market leader Teladoc, the second on Centene. For background and details on this august annual gathering, see ‘If It’s January, It’s JP Morgan Healthcare Conference‘. Remaining …

Innovations in Healthcare Delivery: A Brookings Merkin MedTalk Series

In the physician directed and emerging ‘accountable care’ space, few have the depth and range of experience, operating success, learning curves and business model diversity than the collective enterprises associated with the vision and tenacity of Richard Merkin, MD – physician, philanthropist and visionary. In fact, with Davita’s 2012 acquisition of Healthcare Partners into it’s publically …

AHIP Back in the ‘huddle’ and Reminiscent of the ‘GHAA Revolution’?

By Gregg A Masters, MPH It’s been a very long time since I participated in an AHIP event. In fact for the record I have NEVER been to an AHIP event – that is before this week in DC. I attended, filmed, tweeted, broadcasted from, and now blog about AHIP’s ‘Medicare, Medicaid and Dual Eligible …

A Juxtaposition of DC Irony

By Gregg A. Masters, MPH It’s Monday in DC and the Capitol is distinctly vibrant albeit with a peculiar though eclectic mix of create vs.  deconstruct energies. Some might say this attitudinal ‘chemical cocktail’ is in part sourced from a mix of ‘doers’, but also a smidge if not even a heaping portion of the just …

[Re-post] The ‘Medical Aggregators’: Are We Entering Round Deux?

By Gregg A. Masters, MPH [Originally written by @2healthguru on June 1, 2010 at 11:00 AM] First a little historical context: For those with a healthcare ‘event horizon’ slightly more seasoned than the current health reform ‘conversation’, you might remember the initial round of aggregation in medicine lead by disruptive nameplates such as MedPartners (now …