ACOs in the Medicare Shared Savings Program (MSSP): Is There a Fix?

by Gregg A. Masters, MPH The Center for Healthcare Quality and Payment Reform just released ‘How to Fix the Medicare Shared Savings Program‘ with lead author and long term managed health care industry veteran Harold D. Miller, its President and CEO.  Some six (6) years into the Affordable Care Act (ACA) provisions specific to Accountable Care […]

Leavitt Partners Weigh in on Medicare, APMs and Provider Readiness for Pivot

by Gregg A. Masters, MPH It’s been busy since our re-launch at This Week in Accountable Care primarily due to the heavy lifting support from National ACO co-founders, Andre Berger MD, CEO, and Alex Foxman, MD, President and Chief Medical Officer, respectively. While I moderate the series, Drs. Berger and Foxman serve as co-hosts and subject matter […]

ACOs Fudging the Numbers?

by Gregg A. Masters, MPH I came across this piece on the Healthcare Blog penned by Kip Sullivan, Esq, critiquing this article posted in Health Affairs last May ‘Bending The Spending Curve By Altering Care Delivery Patterns: The Role Of Care Management Within A Pioneer ACO‘. Sullivan raises valid points as the the legitimacy of […]

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 […]

FLAACOs 3rd Annual Fall Conference: A Retrospective

by Gregg A. Masters, MPH This is the second year I’ve ventured to Orlando to cover the Florida Associations of ACOs (@FLAACOs) Annual gathering. According to the website, the FLAACOs mission is: …to provide members a vehicle to collaborate, ensuring that each healthcare organization grows and thrives. The Florida-based association aligns goals to shift physician incentives […]

Blab the Blockchain: Healthcare Implications?

by Gregg A. Masters, MPH Yesterday, April 27th 2016 I joined twitter colleagues and principal co-moderators and my ‘go-to Blab experts James Legan, MD (@jimmie_vanagon) and Charles “Chuck” Webster, MD (@wareflo) for a ‘Blab‘ on ‘blockchain implications in the heathcare space‘ (both delivery and finance). Our featured expert du jour Jeff Brandt was a no-show, so we […]

Hey, Remember IPAs, PPOs and TPAs?

by Gregg A. Masters, MPH In a last man standing of sorts in what some may call the legacy and aging infrastructure of the ‘vote with your feet‘ PPO industry including it’s allies in the TPA (Third Party Administrator) space, the American Association of Payors, Administrators and Networks (AAPAN) is holding its 2016 Annual Forum […]

ACOs and Population Health: The Value Narrative

by Gregg A. Masters, MPH Before there was ‘accountable care’, the current full court press towards innovation – whether digital health app, platform or service delivery model, an emerging culture of transformation or the attendant pursuit of the triple aim, not to mention the most recent obsession with ‘retail as cure’ for that which ails healthcare, […]

The Transformation Continues – PopHealth Week’s Focus in July

by Fred Goldstein The role of Primary Care Providers is changing and much of this is for the better. With the Triple Aim of improving the patient experience, improving the health of populations and reducing per capita costs; along with new payment methodologies, quality measures, organizational structures, and the like, primary care providers are being […]

‘Fear and Trembling’ or Simply ‘Lonely in’ Seattle?

By Gregg A. Masters, MPH The old is new again… I’ve been writing and tweeting about this theme for some time now. It was aptly offered as contextual insight via Nicole Bradberry of MZI Healthcare /Orange Solutions and CEO of the Florida Association of ACOs. Many have similarly echoed this ‘deja vu’ theme when discussing the roll-out […]