An ACO Progress Report c/o CMS

By Gregg A. Masters, MPH Can you feel it? Amidst the continued uncertainty spawned by the very principals who most directly hope to benefit from the continued diversion if not outright ‘anti ACA’ (i.e., Affordable Care Act) propaganda are data suggesting a possible shift in not only attitude but commitment to ‘accountable care’ and the …

Un-bundling the Act: Provisions for ACOs

By Gregg A. Masters, MPH We heard a lot about the rough life of Federal legislators when one of the material objections aka ‘talking points’ to actually considering the thoughtful remedies borne via public/private discourse and years if not decades of health policy development and experience outlined in the Patient Protection and Affordable Care Act …

Update: Growth and Dispersion of Accountable Care Organizations – Leavitt Partners

By Gregg A. Masters, MPH While Attending the Third National ACO Summit in Washington, DC last week I  had the opportunity to cross paths with Thomas Merrill my liaison with Leavitt Partners (LP) responsible for our interview on ‘This Week in Accountable Care‘ discussing LP’s initial release of their report ‘Growth and Dispersion of Accountable …

First Round of CMMI Innovation Grants Announced

By Gregg A. Masters, MPH CMS has disclosed the recipients of the innovation grants this morning. Read their profiles below, from ‘Camp Courage to the Regents of the University of California’ representing an eclectic mix of coast-to-coast academic plays, system lead and entrepreneurial initiatives): BETH ISRAEL DEACONESS Project Title: “Preventing avoidable re-hospitalizations: Post-Acute Care Transition Program …

CMS Innovation Center announcement supporting health care innovation

By Gregg A. Masters, MPH Looks like we’ll get the results of the first round of innovation grants funded via the Center for Medicare and Medicaid Innovation. Rumor has it that there will be a 2nd round of grant funding. I assume we’ll minimally hear about round 1 awards, and perhaps more. Detail via CMMI …

Feel for the enforcers: Shades of Maytag Repair Man?

By Vince Kuraitis This post originally appeared at eCare Management Blog. One of the biggest concerns about ACOs has been their potential to enable market consolidation – that by uniting health care providers the ACO gains market clout and ability to charge higher prices. While this is a legitimate concern about ACOs, so far it’s not playing out. …

ACO train has left station SCOTUS decision irrelevant to market innovation?

By Karen M. Cheung Regardless of how the U.S. Supreme Court will rule on the healthcare law, accountable care organizations are moving forward in coordinating patient care, improving quality and cutting costs. With yesterday’s announcement from the Centers for Medicare & Medicaid Services, 27 providers will be embarking on the Medicare Shared Savings Program, effective …

Medicaid and HITECH Conference: Fourth Annual

By Gregg A. Masters, MPH From the CMS. Originally posted here. To view the live conference video streaming feed, including accessing the agenda and related conference materials and handouts, click here. Please join the Centers for Medicare & Medicaid Services (CMS) as we host a three-day conference for State Medicaid agencies, and other Federal and …

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 …