More on the RyanCare v. Affordable Care Act ‘Conversation’

By Gregg A. Masters, MPH Well Avik Roy, aka @aviksroy, who describes himself as: a Senior Fellow at the Manhattan Institute. Healthcare policy writer for Forbes & National Review. Romney advisor. Independent healthcare investment analyst. and the Manhattan Institute, which describes itself as: a free market thinktank dedicated to developing/disseminating new ideas that foster greater economic …

‘RyanCare’ v. ‘The Affordable Care Act’: Bring on the Death Panels for Grandma

By Gregg A. Masters, MPH Well the ‘repeal and replace’ health reform war is apparently shifting into overdrive via the selection of Congressman Paul Ryan to join the Romney ticket. This is a content rich conversation with something for everyone as we reconcile ‘ACA-esque’ RomneyCare with the voucher based weapon of mass Medicare destruction aka …

Big Data, Little Information, and the ACO Big Picture

By Michael Planchart, Perficient, Inc. The Journey of a thousand miles towards an ACO begins with one step. Healthcare organizations are coming to realize that the programs stimulated by the ARRA – HITECH Act, Meaningful Use (MU) and Accountable Care Organizations (ACO), require something that they don’t have in sufficient quantities, the desired type or in …

ACO Timeline: Key Dates and Application Process

By Gregg A. Masters, MPH According to the Centers for Medicare & Medicaid Services (CMS) as of July 1, 2012 89 new Accountable Care Organizations (ACOs) began serving 1.2 million Medicare beneficiaries in 40 States and Washington, D.C. These 89 new ACOs have entered into agreements with CMS, taking responsibility for the quality of care …

Standing Up the ACO: A View from Ground Zero

By Gregg A. Masters, MPH The clock has been officially ticking for the more mature ACO Pioneer class and recently anointed, perhaps less sophisticated pool of market entrants, in the Advanced Payment Model or standard Medicare Shared Savings Program. Clearly, top of mind strategic questions du’ jour in many board rooms and standing committee conversations …

The Advanced ACO Payment Model: An Unlikely Source of Innovation?

By Gregg A. Masters, MPH Recognizing that all healthcare is local and typically imprinted with variable leadership DNA, risk maturity levels, provider concentration or segmentation, competitive dynamics, urban v. suburban and rural market considerations, the Centers for Medicare and Medicaid Services (CMS) including the Center for Medicare and Medicaid Innovation (CMMI) refined and offered several …

ACOs, Accountable Care and the Digital Health ‘App Market’

By Gregg A. Masters, MPH So much of the innovation metabolism witnessed today via social media and seeping into mainstream consideration, seems to be sucked up in the many, perhaps oversupplied and under utilized consumer facing ‘digital health apps’ market. We have yet to see these app driven forces of nature materially unleashed in the healthcare …

The 5 Myths of the Republican Health Reform Solution

By Gregg A. Masters, MPH Let’s start here, the healthcare industry is a $2.5 trillion behemoth unlike any other in the US economy. At roughly 20% of GDP, 1 out of every 5 dollars spent in the US works it’s way into a complex, silo-ed, discontinuous, often schizophrenic and certainly misaligned series of volume vs. …

The ACO is a Child of the ACA

By Gregg A. Masters, MPH Only another battle has been won, (tho’ an effing big one at that), yet the war to re-engineer America’s healthcare borg remains intact and the Act is at risk to the outcome of November’s elections. In a perfect world 100% of our resources are committed to implementation of the vision, yet in …

The Affordable Care Act: What’s Changed Post SCOTUS Ruling?

By Gregg A. Masters, MPH Found over at the Healthcare Blog, a post SCOTUS Affordable Care Act conversation hosted by Eliza Corp and led by noted healthcare futurist and consultant Jeff Goldsmith. This is well worth a view and even note taking. Among Goldsmith’s many insights is the following: A stunning lack of understanding of …