The 4th National ACO Summit

By Gregg A. Masters, MPH Following two days of the Bundled Payment and Healthcare Innovation Summits, Wednesday June 11th kicks off the pre-conference sessions for the 4th National ACO Summit. The program is packed with health policy wonks, clinicians on the leading if not bleeding edge of the movement, as well as consultants, lawyers and […]

Medicare Shared Savings Program: A Road Map

By Gregg A. Masters, MPH In the litany of ‘whitepapers’, client briefings and less than useful ‘look at me’ marketing pieces that have hit the web since passage of ACA, here is one that is worth the look. Principally authored by Martie Ross of PYA, the title is simply ‘Medicare ACO Roadmap’. Tomorrow on ‘this week […]

The Medicare Shared Savings [ACO] Program Class of 2014: To Submit, or Not to Submit?

By Gregg A. Masters, MPH Thinking about submitting for participation in the ‘statutory’ Medicare Shared Savings (MSSP) vs. Pioneer, or Advanced payment model ACO programs? While there is certain overlap and confusion, stay tuned for CMS to clarify both in nuance terms and well as key operational indicia. By and large my understanding is this […]

This Week in Accountable Care with Aetna Strategist Charles Saunders MD

By Gregg A. Masters, MPH On the broadcast I chat with Charles Saunders MD, CEO of Emerging Businesses at Aetna. Dr. Saunder’s seat in the house of healthcare innovation is a unique perch and his tenure in the business brings both depth and breadth to fundamental questions we face as a collective industry. A fountain […]

‘The ACO Must…’ Towards an Operational Definition of ‘Patient Engagement’

By Gregg A. Masters, MPH In the realm of stuff we need to do and sometimes clouded by either ad copy or less than straightforward guru guidance cutting through the clutter can sometimes be confused by the words ‘may’, ‘should’ or other less obligatory statements. For instance: M/U/S/T | a verb |to: be commanded or […]

Universal American: A ‘Healthy Collaboration?’

By Gregg A. Masters, MPH I intended to post updates from Aetna and Cigna next in this series, yet today I received a tweet by Vince Kuraitis, aka @VinceKuraitis, calling attention to Universal American a managed care player I’ve not spent much time on. Yet they present a rather interesting profile and operating footprint some […]

Strategic Market Tea Leaves: The Health Plan Perspective

By Gregg A. Masters, MPH Whether you love em (anyone love their health insurance company?) or hate em, major health plans are in a reasonable position to lead if not steward the needed healthcare transformation. While physicians aka ‘disorganized medicine’ too often circle the wagons and shoot in, and whereas hospital systems present too much […]

JP Morgan Healthcare Conference Unbundled: Something for Everyone?

By Gregg A. Masters, MPH The 31st annual get together of biotech, pharma and an eclectic litany of publically held healthcare company and many impressive tax exempt health system peeps was my first albeit from a somewhat disadvantaged, i.e., ‘crasher’, status. Yet, in the overall program mix there seemed to be something for everybody from […]

JP Morgan Healthcare Conference 2013

By Gregg A. Masters, MPH We’re here in the ‘city by the bay’ for the 31st annual assembly of biotech and pharma peeps and the money they seek from the venture capital world. Not exactly my tribe, but my interest was sparked by the generous ‘non profit track’ with many nameplate integrated delivery systems in […]

More or Less Confusion in ACO World: Who Really ‘Certifies’ ACOs?

By Gregg A. Masters, MPH The ‘signal to noise’ discernment premium went up a notch recently with the following tweet: @NCQA Read more about newly recognized ACO @KelseySeybold and their commitment to quality and value in the Houston Chronicle http://ow.ly/g6vzl 7:39 AM – 14 Dec 12 And with that breaking news announcement (Kelsey Seybold is […]