The Medicare Shared Savings vs. Pioneer ACOs

By Gregg A. Masters, MPH During the ‘risk download days’, i.e., from health plan to physician groups or networks and institutional health systems or hospital partners, whether via global percent of premium, or budget driven PMPM contracts, some of us used to joke that using healthcare actuarial data to manage forward clinical risk was like […]

Medicaid and HITECH Conference: Fourth Annual

By Gregg A. Masters, MPH From the CMS. Originally posted here. To view the live conference video streaming feed, including accessing the agenda and related conference materials and handouts, click here. Please join the Centers for Medicare & Medicaid Services (CMS) as we host a three-day conference for State Medicaid agencies, and other Federal and […]

Accountable Care and Social Media: Can it connect the silo’s?

By Gregg A. Masters, MPH In an article posted on KevinMD by the always learned and insightful George Lundberg, MD*, the question was posed: can ACO’s re-invent the American Health Care System? A rather compelling and timely question given the fragmentation and vertical silo’s characteristic of American health care finance and delivery, and the ‘patient-centric’ enhancements […]

SCOTUS, ACA & ‘Mis-informed’ Justices

By Gregg A. Masters, MPH As suggested yesterday while ‘the case has been submitted’ per Chief Justice Roberts upon conclusion of Day 3 oral arguments over the constitutional challenges to the Patient Protection and Affordable Care Act, the war to shape the national narrative is well underway. The blogosphere is ripe with buzz over the […]

SCOTUS Audio and Transcript: National Federation of Independent Business v. Sebelius

By Gregg A. Masters, MPH Day 3 is no disappointment. The core argument by Florida AG Clement is that if the  individual mandate is ruled unconstitutional, the entire Patient Protection and Affordable Care Act, absent the severability clause, must fall. Judging from the robust engagement of AG Clement, including an interesting line of questioning from […]

The Affordable Care Act: Day 3 at SCOTUS

By Gregg A. Masters, MPH It’s deja vu all over again! The theater circa 2010 at the Senate Finance Committee via the reconciliation process that delivered unto us the Patient Protection and Affordable Care Act, the framework enabling the accountable care industry, is in play again this time at the Supreme Court of the United […]

SCOTUS and the ACA: Day 1

By Gregg A. Masters, MPH Perhaps the hearing of the new century thus far? The Supreme Court of the United States takes up the challenges submitted with respect to the Patient Protection and Affordable Care Act. From the social media ‘journalism domain’, two hashtags received the predominant volume of tweets tagged to the event; they […]