DC Health Innovation Week: A ‘Triple Aim’ Love In or More Silo’s In the Making?

By Gregg A. Masters, MPH As we trudge forward into various iterations of what and how ‘accountable care’ strategies can be sensibly configured and locally seeded for Medicare, Medicaid as well as commercial markets, attention is often focused on the ‘necessary’ but ‘not sufficient’ contribution(s) from health information technology (HIT). It is rare that a …

CMS Innovation Center announcement supporting health care innovation

By Gregg A. Masters, MPH Looks like we’ll get the results of the first round of innovation grants funded via the Center for Medicare and Medicaid Innovation. Rumor has it that there will be a 2nd round of grant funding. I assume we’ll minimally hear about round 1 awards, and perhaps more. Detail via CMMI …

ACO Deep Dive Session at this Year’s Health Datapalooza

By Gregg A. Masters, MPH This just in from the Centers for Medicare and Medicaid Innovation and HDI Forum III: The CMS Innovation Center is helping plan one session of this two-day event. An ACO “deep dive” will demonstrate how Accountable Care Organizations can make effective use of claims data through innovative software services and …

ACO’s Surface at CES 2012 via Comments from United HealthGroup’s Reed Tuckson, MD

By Gregg A. Masters, MPH Powerful comments, insights and commentary by a visionary leader at United HealthGroup offered at the Digital Health Summit at CES 2012 in Las Vegas. While Dr. Tuckson spoke of ‘population management’ and an ‘all in’ commitment to ultimately tame and redesign a delivery and finance system that works, the gist …

ACOs and #OccupyHealthcare: Connecting the Dots

By Gregg A. Masters, MPH Can you feel it? “There is a great disturbance in the Force” | Emperor Palpatine in The Empire Strikes Back At least two macros have placed this convergence experience in motion: the March 2010 passage of the Patient Protection and Affordable Care Act, et sequelae (i.e., the final rule on ACOs and the Medicare …

Physician Hospital Co-Management Arrangements

By Marshall R. Burack, Akerman Senterfitt In recent years, a number of regulatory and economic factors have driven hospitals and physicians to find ways to work together in a more coordinated manner in order to improve the quality and reduce the cost of patient care. Factors causing hospitals and physicians to work together include, among other …

ACO reimbursement, bundled payments, clinical quality measures and public profiles will be based on ICD-10 data

By Lynne Thomas Gordon Healthcare leaders are juggling multiple pressures, including the consistent delivery of high-quality patient care, evaluation and development of accountable care organizations, the careful management of sensitive patient data, achieving meaningful-use criteria, making the most efficient use of the newest technology and stretching revenue to maintain end-to-end coverage of their bottom lines. …

Massmed Releases 10th Annual Physician Workforce Study

Physician Shortages Found in 8 Specialties, Continued Primary Care Shortages, and Physician Concerns About Global Payments and Accountable Care Organizations: Waltham, Mass. — September 28, 2011 — The Massachusetts Medical Society today released its 2011 Physician Workforce Study showing critical and severe physician shortages in eight specialties, a sixth consecutive year of shortages of primary …

Bundled Payment? Not So Fast!

From Boston.com’s ‘White Coat Notes’: By Liz Kowalczyk A new survey from the Massachusetts Medical Society reveals interesting divisions among doctors over plans to hold down health care spending — and perhaps some words of warning for lawmakers. More than half — 58 percent — of the 1,100 doctors who responded to the society’s survey …

ACO Accelerated Development Learning Session

Sponsored by the Center for Medicare and Medicaid Innovation & Centers for Medicare and Medicaid Services On November 17-18, 2011, CMS is hosting its final “accelerated development learning session” (ADLS) to educate executives about ways to organize and administer ‘Accountable Care Organizations. The session will be held at CMS headquarters in Baltimore, MD. For more …