ACO train has left station SCOTUS decision irrelevant to market innovation?

By Karen M. Cheung Regardless of how the U.S. Supreme Court will rule on the healthcare law, accountable care organizations are moving forward in coordinating patient care, improving quality and cutting costs. With yesterday’s announcement from the Centers for Medicare & Medicaid Services, 27 providers will be embarking on the Medicare Shared Savings Program, effective […]

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 […]

Bundled Payment: A Gateway to Accountable Care?

By Gregg A. Masters, MPH Advisory Board senior consultant and talented speaker (I might add), recently penned a blog post titled: ‘Bundled Payment: A Stepping Stone for ACO’s? I Don’t Buy It.’ I read this well constructed piece, but came to a rather different conclusion. In his set up Rob posits: As I have previously […]

A 6th Difference Between ACOs and “AC-Like” Arrangements

By Vince Kuraitis The post originally appeared on the e-caremanagement blog. Last week I wrote about five key differences between formal ACOs (mainly care providers contracting with Medicare)  and informal Accountable Care-Like (AC-Like) arrangements between care providers and commercial health plans. Transaction costs Timing Incrementalism Flexibility Capital cost There’s an important  6th  difference worth noting: Visibility Formal […]

Physicians Surveyed Gloomy About Healthcare Reform

By Patricia Salber Editor’s Note: Article originally published at The Doctor Weighs In. Recently, The Doctors Company, aka @doctorscompany, the country’s largest insurer of physician and surgeon medical liability, decided to survey doctors to determine what they are thinking and feeling about health reform.  The results are pretty gloomy. To put this in context, it is important to understand […]

AMGA 2012: The complete ‘digital footprint’

By Gregg A. Masters, MPH The synopsis tweeted is pasted below: Final ‘digital footprint’ for #AMGA12: Reached 66,842 peeps via 273 tweets & an exposure of 638,735 impressions The trade group arguably representing a majority of forward thinking and innovation oriented, in terms of the active exploration of what and how accountable care business models can be articulated, […]

AMGA12: The ‘half life’ of a conference hashtag

By Gregg A. Masters, MPH Thanks to fellow healthtweep @PhilBaumann, I learned of another cool ‘infographic’ app to track and display select hashtag metrics posted to Twitter. Below is the infographic created with Visual.ly for the AMGA 2012 Annual Conference tagged #AMGA12: infographic created with visual.ly

That’s Not an ACO!

By Gregg A. Masters, MPH One of the last ‘super PHOs’ standing circa the blood bath, grand ‘risk push-back’ and subsequent unwinding of many physician/hospital JVs of the 90s, Advocate Health Partners (aka @AdvocateHealth) and it’s aligned payor partner, Blue Cross and Blue Shield of Illinois (aka @BCBSIL) went public with their commercial ACO results […]

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 […]

L. Gordon Moore, MD on the Role of Primary Care in Accountable Care

By Gregg A. Masters, MPH In a week when Blue Shield of California served Monarch Healthcare as proxy for Optum aka United HealthGroup a $10.5 million damages demand for arbitration enumerating a number of contractual breaches, the following headline was also in the news (for full article, click here): Doctors decry Kern Medical Center cut of […]