Health Insurance Industry Consolidation: Any ‘Qui Tam’ Exposure?

by Gregg A. Masters, MPH If you’re a health policy junkie like me, then the best show in town (or anywhere for that matter) was in the Dirksen Senate Office Building in Washington, D.C., where HMO industry veteran and Chairman, President and CEO of Aetna Mark T. Bertolini and Anthem President and CEO Joseph R. Swedish among […]

The @Aetna and @Humana Marriage: Will It Be Different This Time?

by Gregg A. Masters, MPH Wow! Ahead of the 4th of July weekend Mark T. Bertolini (@mtbert) and Bruce D. Broussard (@BruceDBroussard) both savvy and seasoned managed health care industry players and visionary captains at @Aetna and @Humana respectively, announced their marriage via a $35 billion, see Bloomberg story: ‘Aetna-Humana Deal to Lower Consumer Costs, […]

It’s All About the Network

By Gregg A. Masters, MPH 2014 has kicked off to a challenging pace and doesn’t look to let up any time soon! Over at Health Innovation Media where we follow health innovation from ‘idea to business model’ including accountable care platforms, ‘apps’ or infrastructure plays,  Dr. Pat Salber, CEO of early mover in the ‘rewards […]

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 […]

HiMSS 2013 Accountable Care Organization RoundUp: Monday March 3rd

By Gregg A. Masters, MPH We’re only 8 days out from the HiMSS bash in the ‘big easy’ aka ‘NOLA’. We’ve been so engaged in planning the Health Innovation Broadcast Consortium aka @HIBCtv coverage it’s been a challenge to stay on top and share the more worthwhile developments in the ACO space. So lets detail some […]

None of the Ransomed Ever Knew How Deep Were the Waters Crossed

By Gregg A. Masters, MPH Ah yes, those ‘white waters’ of health reform or more aptly put ‘transformation’ (you know, the triple aim thingy). As more has been revealed, I offer a quasi ‘mea culpa’ of sorts… Light years ago, or so it seems, as I began at least the blogging portion of my social […]

I’m Absolutely Bullish on the Future of Healthcare!

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 […]

Aetna teams with Hoag Orthopedic on bundled payment initiative

By Gregg A. Masters, MPH Leveraging up from the Integrated Healthcare Association’s (IHA) work (and others) in the bundled payment domain, @Aetna announced yesterday that in association with partner health information technology vendor @McKesson_HIT, their work with Hoag Orthopedic Hospital (aka @HoagOrthopedic) in Newport Beach, California. Bundled payment a child of the DRG payment system and long […]

Accountable Care: In Search of Anchor Business Model(s) for the ‘All In’ Healthcare Eco-system

By Gregg A. Masters, MPH Part One in a continuing series exploring the ‘all in’ healthcare eco-system (as enumerated by Reed Tuckson, MD aka @DrReedTuckson below) There is no room in the cost curve to accommodate things that don’t add value An article published late last night titled ‘Hospital Groups Will Get Bigger, Moody’s Predicts‘ presented […]