Monitoring the birth of an industry
Dr. David Ballard, Chief Quality Officer and Senior Vice President at the Baylor Health Care System in Dallas, TX and Executive Director of its Institute for Health Care Research and Improvement, introduces a series of articles appearing in the August 2012 issue of Mayo Clinic Proceedings where he shares a 3-part interview with 3 leading …
Continue reading “Transformational Potential of Medicare ACOs – Part 1”
Note: An Opinion Piece By Gregg A. Masters, MPH If you were not dialed into the first presidential debate tonight, you missed a rather tortured, poorly moderated, POTUS failed series of opportunities to credibly discredit his health reform ‘etch-a-sketch’ opponent. In the post debate punditry, and fact checking, this one is likely to ascend to …
Continue reading “Yes We Can? No, He [POTUS] Didn’t. Not Tonight.”
By Gregg A. Masters, MPH Courtesy of Clive Riddle and MCOL aka @M_C_O_L, author, consultant and long term managed care industry verteran reflects on the ACO environment, unbundles and expounds on the range of entrants in the ACO space and reports on the status of the playing field as of the May 2012 data point. …
By Gregg A. Masters, MPH David Blumenthal, M.D., MPP, Former National Coordinator (2009-2011) Office of the National Coordinator for Health Information Technology and seasoned health policy wonk opines on ACOs. Further details and balance of Dr. Blumenthal’s credentials below: In this video, Dr David Blumenthal, Samuel O. Thier Professor of Medicine and Professor of Health …
By Gregg A. Masters, MPH In the walk and perhaps some instances trot towards forming and launching an ACO you have prominent voices on both sides of the debate. The bearish camp is perhaps best represented by the likes Jeff Goldsmith in ‘Can Accountable-Care Organizations Improve Health Care While Reducing Costs?’ or Virgina Herzlinger in …
Continue reading “I’m Absolutely Bullish on the Future of Healthcare!”
By Gregg A. Masters, MPH Per recent CMS Provider Call: From a CMS ‘National Provider Call’ on July 31, 2012, this is a walk through of the Medicare Shared Savings Program and Advance Payment Model Application Process. The review includes both an overview, and update specific to the two distinct programs. A Q&A session follows …
Continue reading “Medicare Shared Savings Program & Advance Payment Model Application Process”
By Gregg A. Masters, MPH On ‘This Week in Accountable Care‘, Wednesday, September 5th, 2012 at noon Pacific and 3PM Eastern, my special guest is industry veteran William J. DeMarco, President and CEO of Pendulum Health. Active since the roll-out of the HMO Act, and instrumental in the development of marquee names and properties in the managed …
By Gregg A. Masters, MPH We’ve been somewhat dormant on ‘This Week in Accountable Care‘ during the summer months, but there has been no shortage of announcements with the CMS series of proscribed deadlines, as well as the purely discretionary dates associated with ACO arrangements negotiated and launched in the private aka ‘commercial’ market. Today we …
By Gregg A. Masters, MPH Courtesy of the good peeps at The Advisory Board, aka @TheAdvisoryBd, the emerging picture of where we are going in terms of the mission critical leg of full ACA implementation, rests to a large degree with the Executive Offices of the respective states. As can be expected, there is a …
Continue reading “The ‘Medicaid Expansion’ Map: Where We Stand”
By Gregg A. Masters, MPH I awoke this morning to read the following headline: Hospitals Look To Become Insurers, As Well As Providers Of Care To wit, I ‘tweeted’: OK, it’s reallly ‘deja vu’ all over again! ‘Hospitals Look To Become Insurers, As Well As Providers Of Care’ For complete original article, click here. Mind …
Continue reading “Hospitals Back in Insurance Biz: Good News or Bad News?”
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