Our first broadcast of this new weekly series on ACOs featured J. Peter Rich, David Klatsky & Gary Davis of McDermott, Will Emery on November 30th, 2010.

Context for the broadcast is as follows:

With the March 2010 passage of the Patient Protection and Affordable Care Act, Accountable Care Organizations have taken center stage. Each day we hear about this or that conference, workshop, retreat or webinar, or read in print or online media, about physicians, payors or institutional health systems contemplating the formation of an ACO.

There is even a parody video titled ‘In search of an ACO‘ which is a must see for context if not entertainment value. The YouTube count is in excess of 50.000 views since its August release.

With only the broad guidance reflected in the Act to date, the ‘heavy lifting’ is no doubt in front of us, as there is much to be written into regulations about ACOs, minimally including:

  • how they are structured?
  • how they qualify for CMS certification?
  • how and what do they measure, or perhaps enforce (will there be both a carrot and a stick approach here?).
  • how will ACOs enable the paradigm shift away from volume driven fee-for-service medicine to a pay-for-quality and/or outcomes approach?

In this program experienced health care attorneys drill into key take aways for physicians, hospitals and health care organizations who are contemplating their ACO options.

To listen to the complete broadcast, click here.

ACO Watch: A Mid Week Review

Original Air Date: January 19, 2011

My guest commentator is thought leader, nationally known blogger, health care analyst, business development consultant, writer and speaker on health care cost and quality issues Brian Klepper, Ph.D.

ACO Watch: A Mid-Week Review

Original Air Date: January 12, 2011

My guest commentator is thought leader, author, blogger, lecturer and consultant on health care quality, and related transformational initiatives Michael L. Millenson. Millenson is president of Health Quality Advisors LLC, and a nationally recognized expert on improving the quality of American health care.

ACO Watch: A Mid Week Review

Original Air Date: January 5, 2011

My guest commentator and co-host is Mark Browne, MD, of PYA (Pershing Yoakley & Associates). Dr. Browne is a consultant, health innovation thought leader, and blogger, and healthtweep in good standing via @consultdoc.

ACO Watch: A Mid Week Review

Original Air Date: December 22, 2010

On the Wednesday, December 22nd 2010 program at 11AM Pacific and 2PM Eastern, thought leader, blogger, lecturer and consultant Kent

Bottles, MD, returns for an encore conversation.

We’ll highlight key points in several of the recent reports issued, herehere and here, by the Center for American Progress, the California Healthcare Foundation, and Health Affairs, respectively on ACOs, and provide somewhat of a primer for physicians who may not be familiar with the PPACA’s (‘ACA’) provisions and the enabling language defining Accountable Care Organizations (ACOs) in the ACA.

To join us for a live or archived replay of this segment, click here.

L. Gordon Moore, MD: Next on ACO Watch – A Mid-Week Review

On Wednesday, December 15th, at 11AM Pacific, and 2PM Eastern, my special guest commentator is l. Gordon Moore, MD, President of Ideal Medical Practices, former ‘chief evangelist’ of the HelloHealth University, and a participant on Twitter via @lgordonmooremd.

Dr. Moore is a thought leader in ‘exemplary primary care’, and a physician who is actively exploring the value proposition of new media tools, and digital health technologies to enable the more efficient organization of health care services to better meet the needs of consumers, payors and host primary and/or specialty care physicians.

On this third segment of ACO Watch: A Mid-Week Review we’ll explore the role of direct medical practices, aka primary care medical homes, in the unfolding ACO tapestry. While an unconventional dot to connect to a host (or ‘parent’) ACO, or even to extend traditional consideration to serve as a host ACO per se, a suitably configured (but yet to be defined in regulatory language) network of direct medical practices can indeed both qualify for ACO consideration, as well as earn eligibility to be included in emerging state Health Insurance Exchanges (HIE’s) as ‘qualified health plans’ under the Patient Protection and Affordable Care Act (PPACA).

Many believe the core innovation that will determine the granular success or failure of the PPACA to achieve it’s ‘triple aim’ goals as outlined by Don Berwick recently, will be served up via niche and/or so-called ‘marginal players’ in the conversation. The direct medical practice movement (collectively including: retainer or membership based medicine, as well as certain concierge or boutique medical practices) is one of the candidate horses in the race.

To join us live or for an archived replay of the broadcast with Dr. Gordon Moore, click here.

Kent Bottles, MD Guest Commentator on 2nd ‘ACO Watch: A Mid-Week Review’

On Tuesday at 10AM Pacific, 1PM Eastern Kent Bottles, MD, (aka @kentbottles on Twitter) noted blogger, health care social media thought leader, lecturer and physician leadership role model and mentor will address ‘physician leadership and the collaboration imperative’.

Clearly as we prepare for the ‘roll out’, ‘ramp up’ or otherwise ‘peppering of the health care landscape’ with Accountable Care Organizations (ACOs), the core driver in any success paradigm given the ‘tripple aim objectives’ of Donald Berwick, MD, the Centers for Medicare and Medicaid Chief, will no doubt be the level and efficacy of physician leadership, and the cultural substrate in which it incubates. This segment will address the role of physician leadership, in a culture collaboration, in what is likely to be at hotbed of ACO development, management and general stewardship.

To listen live, or via archived replay or download, click here.


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