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 …

Wag The Dog: Will Subacute Providers Drive Upstream Innovation?

By Gregg A. Masters, MPH One of the more interesting and perhaps developing trends to watch in fledgling accountable care enterprises or ACOs is the blueprint adopted for their chosen pathways towards integration (clinical, economic or legal). Since all healthcare is [hyper] local and, once you’ve seen an ACO, you’ve seen one ACO its vital …

Rebuttal and Comment to ‘NYT Op Ed: Emanuel Editorial is Irresponsible and Naive’

By Vince Kuraitis Zeke Emanuel’s editorial in the New York Times — The End of Health Insurance Companies — really got my blood boiling. It’s irresponsible and naive. Former Obama advisor Emanuel “predicts”: By 2020, the American health insurance industry will be extinct. Insurance companies will be replaced by accountable care organizations — groups of …

Miss Commonwealth Fund Webinar on ACOs?

By Gregg A. Masters, MPH If you did, do yourself a favor and watch the recorded broadcast ‘ACO Formation: Leading the Transition to New Models of Care‘, here. My net take away from the event is total optimism that the clearer thinking brain trust who understand, ‘failure is not an option’ for a healthcare conundrum …

Tweet Transcript of Commonwealth Fund ACO Formation: Leading the Transition to New Models of Care

By Gregg A. Masters, MPH TweetReach for #ACOchat – Demonstrating the ‘digital footprint’ of a real time healthcare focused social media ‘conversation…. Reached 20,760 peeps via the last 50 tweets….Exposure: 180,892 Impressions Tweet Types Each pie slice shows how many people saw how many tweets and the impressions generated via the 8 Tweeps participating below…. for real time …

Markets, Metrics, Maturity and ACO Model: 6 Market Types

By Joseph F. Damore and Barbara Gray As finance leaders consider whether to apply to the Medicare Shared Savings Program, they should evaluate the application of accountable care principles to six other markets for value-based contracting. When the Centers for Medicare & Medicaid Services issued proposed regulations for Medicare accountable care organizations (ACOs), it refocused …

ACO Blueprint?

By Joe Damore In 2010, the Charlotte, N.C.-based Premier Health Alliance created two working groups to assist its hospital and health system member organizations to prepare to participate in the Medicare Shared Savings Program for accountable care organizations (ACOs), one of the voluntary programs created by the Affordable Care Act (healthcare reform) in 2010. As Premier’s …

CMS Innovation Challenge

By Gregg A. Masters, MPH Great webinar today, via the third in a series on the practical implementation of the ‘triple aim’ concept, yes you can ‘kill’ (figuratively) a man, but not the powerful ideas he represents (kudos Don!, you live on in the hearts and minds of many). Today’s program description and more can …

Health Plans: The Weakest Link in the Value Proposition?

By Gregg A. Masters, MPH Today’s post comes to mind via a Tweet this morning courtesy of @CraigJCasey who proferred: @2healthguru @pfanderson Occupy common sense, like Don Berwick – confirms Medicare wasting 20-30%!! Go big government, single payer This Tweet is timely mindfulness and context for the wounded politico’s and their aligned think tanks who while not …