‘Pioneers Take Arrows While Settlers’ Get the Land?’

At the ACO Summit in Washington DC in June 2012 Elliott Fisher, MD arguably one of the admitted father’s of the ACO movement opined perhaps prophetically from a panel including Mark McClellan, MD and former Health Affairs Editor, now RWJF Senior Health Policy Advisor Susan Dentzer the above wisdom. Today, CMS via the Center for Medicare …

4th National ACO Summit: Some Contextual Reflection

By Gregg A. Masters, MPH When ‘Acting Administrator’ of CMS Don Berwick gleefully announced the final rule guiding the development and Federal certification of Accountable Care Organizations (ACOs) on October 20th, 2011, he thereby officially unleashed the power of the largest single payer for healthcare services in the United States to simultaneously govern while informing …

Busy Week in DC

By Gregg A. Masters, MPH Last week it was xx in health, followed by the Health Datapalooza and winding down at Medcity News Engage: Unlocking Patient Engagement Through Innovation where I moderated the panel: ‘Patient Engagement in An ACO World‘: This week it’s back to back sessions beginning Monday, June 10th at the National Bundled …

The 9 C’s of Accountable Care with Tom Doerr, MD

By Gregg A. Masters, MPH Recently I came across a blog post titled ‘The Nine C’s of Successful Accountable Primary Care Delivery’ by Tom Doerr, MD. I had the additional opportunity to participate in a portion of The Collaborative Payer Model: 5 Lessons for Accountable Care webinar which Dr. Doerr led wherein he unbundled some …

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 …

First Round of ACO Results Due Soon

By Gregg A. Masters, MPH Most of us watching and trying to interpret the ACO tea leaves are both challenged yet determined to assimilate a coherent picture of what’s happening at the ‘industry zeitgeist’ level. As noted previously, once you’ve seen one ACO, you seen one ACO. Since there is ample confusion from the differences …

The Medicare Shared Savings [ACO] Program Class of 2014: To Submit, or Not to Submit?

By Gregg A. Masters, MPH Thinking about submitting for participation in the ‘statutory’ Medicare Shared Savings (MSSP) vs. Pioneer, or Advanced payment model ACO programs? While there is certain overlap and confusion, stay tuned for CMS to clarify both in nuance terms and well as key operational indicia. By and large my understanding is this …

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 …

Standing Up the ACO: Lessons from South Park?

By Gregg A. Masters, MPH On Sunday I was chatting with a friend in the biz and the conversation turned to ACOs, wherein he whimsically laughed and then relayed a story from a recent California Medical Association (CMA) sponsored event on health reform, the future of medicine and Accountable Care Organizations, wherein one of the …

The ACO Surprise

By Gregg A. Masters, MPH Timing can be everything at times, no? Just after completing the post: ‘From “Unicorns to Multicorns” ACOs Morphing Below Radar‘, I received information from Oliver Wyman, a Marsh McLennan Company, previewing a study which documents (at least for some) ‘unexpected’ results in the world of ACO penetration. For background market …