ACOs Fudging the Numbers?

by Gregg A. Masters, MPH I came across this piece on the Healthcare Blog penned by Kip Sullivan, Esq, critiquing this article posted in Health Affairs last May ‘Bending The Spending Curve By Altering Care Delivery Patterns: The Role Of Care Management Within A Pioneer ACO‘. Sullivan raises valid points as the the legitimacy of […]

POTUS: The De Facto Health Wonk-in-Chief of the US?

by Gregg A. Masters, MPH   Love him or hate him President Barack Obama continues to demonstrate depth, insight, tenacity and a firm grip on the state of the U.S. Healthcare ecosystem dysfunction (and remedies) well beyond his formal training as a Constitutional scholar. Now as arguably one of the most legislatively accomplished President’s in […]

‘Non-Profit IDNs’: Where’s Da Beef?

By Gregg A. Masters, MPH I have followed this narrative for quite some time albeit inside the industry contained debate of whether so-called ‘non-profit’ [501(c)3] hospitals or their parent systems (really more aptly characterized as “tax exempt”) actually earn this financial advantage via material ‘returns’ to the communities they serve. As can be expected you […]

ACA, Accountable Care and the @HealthcareGov Fiasco

By Gregg A. Masters, MPH With the quiet time afforded this ‘Thanks Giving-Kah’, I feel called to express some ‘dis-ease’ with the progress towards our pursuit of the triple aim or sustainable healthcare ecosystem. As if the health reform battle hasn’t been a power partisan exchange from day one. Think again… If you weren’t paying […]

ACOs ‘In the News’

Gregg A. Masters, MPH As the drip, drip, drip of the reported collateral fallout – both perceived and actual – of the stalemated resolution of the Federal shutdown makes it way into the American psyche we’re also seeing reports from the front on the success, indifference or failure of the ‘ACO vision’ to successfully pivot […]

The ACO Innovation Summit

By Gregg A. Masters, MPH One of the few ACO gatherings I’ve missed since the birth of the industry (and there have been quite a few since there are ‘experts’ everywhere), but the line-up NEHI put together is well worth a look. Both Steven Shortell and Molly Coye are definitely change agents on the front […]

CMS Call: Tips on Submitting Application for Medicare MSSP ACO

By Gregg A. Masters, MPH There are those trying to figure out how to best ‘build out’ if not perfect (as in the Pioneer class) an ACO, while an even larger pool ‘leaning’ in the direction of playing, are focused on the mechanics of the application process. As with the ‘interface model’ that’s kept the […]

Some Context and Perspective on Standing Up the ACO

By Gregg A. Masters, MPH I am passionate and write a fair amount about health reform, innovation in business models and the pursuit of a ‘sustainable healthcare ecosystem’ as I’ve been intimately involved in serial efforts to restrain the appetite of a change resistant industry that Shannon Brownlee aptly frames in Escape Fire the hard […]

Are Institutionally Led ACOs ‘DOA’? I Say Heck Yah!

By Gregg A. Masters, MPH At the end of the [business model and strategic positioning] day, it’s all about the intangible but mission critical ‘C’ word, i.e., culture, and whether two traditionally oppositional styles (physician v. hospital) can mash-up and ‘meaningfully integrate’ (clinically, legally & workflow wise) where previous attempts during the 80s and 90s […]

ACOs, ‘HMO lite’ or ‘DNA of the Transformation’?

By Gregg A. Masters, MPH I am regularly amused by some in the popular press as well as guerrilla social media theater (myself included in that bucket) by the continued doubt if not outright dismissal of ACOs as the central spine if not fulfillment DNA of ‘the new, new thing/imperative’, i.e., to manifest the ‘triple aim’ as the sustainable […]