Berwick v. Hatch, Enzi & the Gang of 42. Lunatics 1, America 0

Reprinted in portion below: Berwick’s resignation a signal of a faulty political system via Healthcare Finance News by Stephanie Bouchard WASHINGTON – It came as a surprise to no one that Donald Berwick, MD, the administrator of the Centers for Medicare & Medicaid, would not be carrying on in the position once his term ended on …

CMS Grant Program to Stimulate Public/Private Multi Payor Partnerships

By Gregg A Masters, MPH The Centers for Medicare and Medicaid Services via the innovation center will award up to $30 million to innovative public/private partnerships, and will likely favor those ventures with multi-payor breath. Via the ‘We Can’t Wait for Innovation Challenge’, a total of $1 billion is intended to stimulate the creative juices …

New Deadlines Announced for Advance Payment Model

Issued by CMS, Center for Medicare and Medicaid Innovation (CMMI): Last month, CMS announced a new Advance Payment Model for physician-based and rural Accountable Care Organizations selected to participate in the Medicare Shared Savings Program. The selected ACOs will receive advance payments that will be recouped from the shared savings they earn. Organizations interested in …

ACOs: An Update on the Race

By Conor Green A few months ago, we noted that the release of regulations for ACOs would trigger an ACO services race across the healthcare landscape, where market participants would be sprinting to create service offerings that would help hospitals and physician practices become compliant with the CMS ACO regulations for sharing financial risk and the …

ACOs and #OccupyHealthcare: Connecting the Dots

By Gregg A. Masters, MPH Can you feel it? “There is a great disturbance in the Force” | Emperor Palpatine in The Empire Strikes Back At least two macros have placed this convergence experience in motion: the March 2010 passage of the Patient Protection and Affordable Care Act, et sequelae (i.e., the final rule on ACOs and the Medicare …

#occupyhealthcare: Hype or Hope?

By Gregg A. Masters, MPH Sunday, November 6th 2011 may mark a tipping point in the weak-tied and ‘talk is cheap‘ happy talk often characteristic of episodic and even planned healthcare social media conversations. While a dedicated and passionate community mostly focused on learning, defining, sharing best practices and what constitutes the ‘meaningful use’ of …

Dr. Don Berwick on ACO’s: From Volume to Value

By Donald Berwick, MD Editors Note: Thanks to a tweet today via @AxSys_Health CMS Administrator Don Berwick, M.D., explains ACO’s in plain language. Hi, I’m Don Berwick, CMS administrator. Today’s a kind of red letter day, October 20th 2011. That’s the day in which we launch the Accountable Care Organization final rule and I just …

Proposed v. Final ACO Rule

By Gregg A. Masters, MPH Deep in the 690+ pages of the document filed with the OFR, is a nifty little matrix that compares key provisions of the ‘notice of proposed rule making’ to the final rule which theoretically incorporated the best and brightest suggestions pro-offered in 1,300+ comments supplied to CMS. That pre/post matrix …

ACOs: It’s Not Just About Medicare [shared savings]

By Gregg A. Masters, MPH A recent report attached to a Tweet posted by Brian Ahier caught my attention in the blitzkreig of ACOs postings this past week.  @ahier Building #ACO‘s & OUtcome Based Contracting in the Commercial Market The complete title of the attached report is ‘Building ACOs and Outcome Based Contracting in the Commercial Market: …

ACO Final Rule: A Round Up of Early Opinion and ‘Go To’ Resources

By Gregg A. Masters, MPH Like some of you, I woke up the morning of Friday, October 21st, 2011 to a literal ‘blitzkrieg’ of tweets flooding two TweetDeck columns tagged ‘ACOchat’ and ‘ACO’. Everyone it seems has a dog in the hunt to make known their standing or interest in Accountable Care Organizations (ACOs), the …