Accountable Care, ACOs and the ‘New OS’: An Emerging Zeitgeist?

By Gregg A. Masters, MPH …or might the movement just be the very oxygen essential to achieve the triple aim? We’ll get one man’s take on the Wednesday July 24th 2013 broadcast at 12 noon Pacific/3PM Eastern when my special guest is thought leader, deep thinker and advocate for patient centric healthcare Leonard Kish, aka …

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 …

4th National ACO Summit Day 2

By Gregg A. Masters, MPH Day two for me started in Track 6: Engaging Patients in their Medical Care, titled ‘Patient Engagement in Healthcare Decision Making‘ breakout session moderated by Shannon Brownlee (@ShannonBrownlee), Senior Vice President, Lown Institute; Former Acting Director Health Policy Program, The New America Foundation; Author, Overtreated: Why Too Much Medicine is Making …

Busy Week in DC

By Gregg A. Masters, MPH Last week it was xx in health, followed by the Health Datapalooza and winding down at Medcity News Engage: Unlocking Patient Engagement Through Innovation where I moderated the panel: ‘Patient Engagement in An ACO World‘: This week it’s back to back sessions beginning Monday, June 10th at the National Bundled …

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 …

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 …

Some Context and Perspective on Standing Up the ACO

By Gregg A. Masters, MPH I am passionate and write a fair amount about health reform, innovation in business models and the pursuit of a ‘sustainable healthcare ecosystem’ as I’ve been intimately involved in serial efforts to restrain the appetite of a change resistant industry that Shannon Brownlee aptly frames in Escape Fire the hard …

Are Institutionally Led ACOs ‘DOA’? I Say Heck Yah!

By Gregg A. Masters, MPH At the end of the [business model and strategic positioning] day, it’s all about the intangible but mission critical ‘C’ word, i.e., culture, and whether two traditionally oppositional styles (physician v. hospital) can mash-up and ‘meaningfully integrate’ (clinically, legally & workflow wise) where previous attempts during the 80s and 90s …