Monitoring the birth of an industry
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 …
Continue reading “Standing Up the ACO: Lessons from South Park?”
By Margalit Gur-Arie Obamacare is here to stay, and with it a host of initiatives small and large, some intended and some not so much so, targeting massive transformation of the health care delivery system. One of those initiatives involves the adoption of the principles of a Patient Centered Medical Home (PCMH) for primary care as formulated …
Continue reading “The Anatomy of a Patient Centered Medical Home: the Physiology of an ACO?”
By Gregg A. Masters, MPH I am regularly amused by some in the popular press as well as guerrilla social media theater (myself included in that bucket) by the continued doubt if not outright dismissal of ACOs as the central spine if not fulfillment DNA of ‘the new, new thing/imperative’, i.e., to manifest the ‘triple aim’ as the sustainable …
Continue reading “ACOs, ‘HMO lite’ or ‘DNA of the Transformation’?”
By David Harlow, Esq. Much has been written and said about the effect of the election on the implementation of federal health reform initiatives. The commentariat, including the blogerati and twitterati wings, have focused on the budget battles of the future to come from Capitol Hill, the flurry of regulations to come from HHS, and …
Continue reading “‘ObamaCare’ Lives: Ladies and Gentlemen Start Your ACO and HIE Engines”
By Gregg A. Masters, MPH David Blumenthal, M.D., MPP, Former National Coordinator (2009-2011) Office of the National Coordinator for Health Information Technology and seasoned health policy wonk opines on ACOs. Further details and balance of Dr. Blumenthal’s credentials below: In this video, Dr David Blumenthal, Samuel O. Thier Professor of Medicine and Professor of Health …
By Gregg A. Masters, MPH Per recent CMS Provider Call: From a CMS ‘National Provider Call’ on July 31, 2012, this is a walk through of the Medicare Shared Savings Program and Advance Payment Model Application Process. The review includes both an overview, and update specific to the two distinct programs. A Q&A session follows …
Continue reading “Medicare Shared Savings Program & Advance Payment Model Application Process”
By Gregg A. Masters, MPH Contextualizing the competitive market uptake given the ‘muddy waters’ aka hand-wringing, hedging, side-stepping or simply the ‘sensible accumulation of more data’ before taking the plunge into the controversial, in some quarters, Medicare Shared Savings Program via an ACO, will get a tad clearer as the deadline for submitting applications to CMS …
Continue reading “Next Round of CMS ACO Deadline Fast Approaching”
By Larry G. Raff, MPH, President, Copley Raff Article originally appeared on Becker’s Hospital Review Magazine Don’t look now, but the face of healthcare in the United States is about to change. The results will be better care, better patient outcomes, lower costs (or slowing of cost increases) and more financially sound providers. It would appear …
Continue reading “No Margin, No Mission or No Mission, No Margin for ACO Success?”
By Gregg A. Masters, MPH Only another battle has been won, (tho’ an effing big one at that), yet the war to re-engineer America’s healthcare borg remains intact and the Act is at risk to the outcome of November’s elections. In a perfect world 100% of our resources are committed to implementation of the vision, yet in …
By Gregg A. Masters, MPH A Profile of ACO’s Selected for July 1, 2012 Start Date Per CMS Annoucement: On July 9, 2012, the Centers for Medicare & Medicaid Services (CMS) announced the selection of 89 additional Accountable Care Organizations (ACOs) to participate in the Medicare Shared Saving Program. The selected organizations will take responsibility …
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