By Gregg A. Masters, MPH In the sea of collective opinion via both pundit and ‘boots on the ground do’ers’ reported in trade group, popular and growing insights proffered via social media, one of the narratives centers on can ACOs really make a difference? In other words, is meaningful reform of the failing volume driven …
Tag Archives: Affordable Care Act
3rd National ACO Congress Video Mashup
By Gregg A. Masters, MPH For a taste of the proceedings, check out the video mashup below: Overview of the ACO Congress Since the Second National Accountable Care Organization Congress in November 2011, the ACO trend has demonstrated great momentum. As of June 2012, there are more than 200 ACOs identified in the U.S., a …
Transformational Potential of Medicare ACOs – Part 1
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 …
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William J. DeMarco on Provider Contracting, ACOs, Value Based Purchasing, and Practice Acquisition
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. …
Physicians, ACOs and Those ‘Boiler Plate’ Participation Agreements: Buyer Beware!
By Jeffrey L. Cohen, Esq. There continues to be terrific interest in accountable care organizations (ACOs), which are of course a financially risk-based model of providing healthcare to patients who choose to enroll in the Medicare Shared Risk Program. ACO organizations are often led by hospitals and hospital systems, though occasionally by physician organizations. One …
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The ‘Medicaid Expansion’ Map: Where We Stand
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 …
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Hospitals Back in Insurance Biz: Good News or Bad News?
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 …
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‘RyanCare’ v. ‘The Affordable Care Act’: Bring on the Death Panels for Grandma
By Gregg A. Masters, MPH Well the ‘repeal and replace’ health reform war is apparently shifting into overdrive via the selection of Congressman Paul Ryan to join the Romney ticket. This is a content rich conversation with something for everyone as we reconcile ‘ACA-esque’ RomneyCare with the voucher based weapon of mass Medicare destruction aka …
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Big Data, Little Information, and the ACO Big Picture
By Michael Planchart, Perficient, Inc. The Journey of a thousand miles towards an ACO begins with one step. Healthcare organizations are coming to realize that the programs stimulated by the ARRA – HITECH Act, Meaningful Use (MU) and Accountable Care Organizations (ACO), require something that they don’t have in sufficient quantities, the desired type or in …
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No Margin, No Mission or No Mission, No Margin for ACO Success?
By Larry G. Raff, MPH, President, Copley Raff Article originally appeared on Becker’s Hospital Review Magazine Don’t look now, but the face of healthcare in the United States is about to change. The results will be better care, better patient outcomes, lower costs (or slowing of cost increases) and more financially sound providers. It would appear …
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