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 …

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 …

Wednesday Update

By Gregg A. Masters, MPH I just finished listening to a webinar led by Justin T. Barnes, VP at Greenway Medical Technologies, aka @HITadvisor. While a blend of strategic and granular takeaways from the final ACO rule, the webinar provided a useful overview of the broader implications of health reform and innovation both from the …

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 …

Leavitt Partners Report: ACOs, Their Growth and Dispersion

On the Wednesday, November 30th, 2011 broadcast at 11AM PT / 2PM ET my special guests include two principal co-authors of the recently released Leavitt Partners study titled: Growth and Dispersion of Accountable Care Organizations‘. For an extract and link to download the full report, click here. More about the guests: Andrew Croshaw is Managing …

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 …

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 …