Physicians versus Hospitals as Leaders of Accountable Care Organizations

NEJM | November 10, 2010 | Topics: Accountable Care Organizations, Reform Implementation Robert Kocher, M.D., and Nikhil R. Sahni, B.S. Enactment of the Affordable Care Act (ACA) was a historic event. Along with the Recovery Act, the ACA will usher in the most extensive changes in the U.S. health care system since the creation of Medicare …

How to Finance and Build Your ACO

David A. Lips, for HealthLeaders Media Section 3022 of the Patient Protection and Affordable Care Act is has the innocuous name, “Medicare Shared Savings Program.” Accountable care organizations are at the heart of this program, which is intended to coordinate healthcare providers serving patient populations of at least 5,000. Unlike many other parts of PPACA, …

ACO 101: A Physician Primer with Mark Browne, MD

On the Wednesday, December 29th 2010 program ACO 101: A Physician Primer at 11AM Pacific and 2PM Eastern, my guest commentator and co-host is consultant, health innovation thought leader, and blogger, Mark Browne, MD of Pershing Yoakley & Associates, aka @consultdoc on Twitter. While on the front end of the Centers for Medicare and Medicaid …

ACO Watch: A Mid Week Review

On the Wednesday, December 22nd 2010 program at 11AM Pacific and 2PM Eastern, thought leader, blogger, lecturer and consultant Kent Bottles, MD, returns for an encore conversation.  We’ll highlight key points in several of the recent reports issued, here, here and here, by the Center for American Progress, the California Healthcare Foundation, and Health Affairs, respectively …

A Model For Integrating Independent Physicians Into Accountable Care Organizations

Mark C. Shields, Pankaj H. Patel, Martin Manning and Lee Sacks in Health Affairs Abstract The Affordable Care Act encourages the formation of accountable care organizations as a new part of Medicare. Pending forthcoming federal regulations, though, it is unclear precisely how these ACOs will be structured. Although large integrated care systems that directly employ …

Sneak Peak at Upcoming ACO Risk Sharing, Quality Measure and Beneficiary Assignment Regulations?

Medicare Payment Advisory Commission (MedPAC) Chairman, Glen Hackbarth, recently submitted comments in response to the Center for Medicare & Medicaid Services’ (CMS) Request for Information regarding the much-anticipated Patient Protection and Affordable Care Act (PPACA) Accountable Care Organization (ACO) regulations, to be published early next year.  MedPAC’s comments were outlined in a letter dated November 22, 2010, from Mr. Hackbarth …

Health Industry Stakeholders to CMS on ACO’s: Published Comment Letters

In response to the request for comment proferred by CMS on November 17th, 2010 ‘Medicare Program; Request for Information Regarding Accountable Care Organizations and the Medicare Shared Saving Program’ the industry has spoken. Below are select links to the respective submitting entities, and the issues they have called to the attention of CMS Chief, Donald Berwick, MD: Charles …

CMS To Hold Series of Regional ‘Listening Sessions’

During these sessions, CMS  intends to highlight health reform efforts while also gaining continuing input from community stakeholders. CMS’s purpose in organizing the regional sessions is to clarify that the Patient Protection and Affordable Care Act (PPACA) has given it new opportunities to improve the care delivery and payment system, including Accountable Care Organizations (ACOs) under …

L. Gordon Moore, MD: Next on ACO Watch – A Mid-Week Review

On Wednesday, December 15th, at 11AM Pacific, and 2PM Eastern, my special guest commentator is l. Gordon Moore, MD, President of Ideal Medical Practices, former ‘chief evangelist’ of the HelloHealth University, and a participant on Twitter via @lgordonmooremd. Dr. Moore is a thought leader in ‘exemplary primary care’, and a physician who is actively exploring …

4 Ways to Think About ACO Strategy

Stephen Jenkins, for HealthLeaders Media We are in the midst of a full-fledged frenzy of activity around accountable care organizations (ACOs). Be wary of a frenzy—these are the times when action becomes separated from thought and we lose track of why we are doing what we are doing. There are good reasons to pursue becoming …