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 …

Wal*Mart: RFI ‘Overwritten and Incorrect’

By Gregg A. Masters, MPH Whoa! Not 24 hours after the Request for Information (RFI) issued by WalMart Health and Wellness directed to it’s ‘strategic partner’ downline hit the street, I mean was leaked to the press, WalMart’s senior management felt compelled to promptly backdown from it’s rational, comprehensive, timely and sensible approach to make …

#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 …

ACO reimbursement, bundled payments, clinical quality measures and public profiles will be based on ICD-10 data

By Lynne Thomas Gordon Healthcare leaders are juggling multiple pressures, including the consistent delivery of high-quality patient care, evaluation and development of accountable care organizations, the careful management of sensitive patient data, achieving meaningful-use criteria, making the most efficient use of the newest technology and stretching revenue to maintain end-to-end coverage of their bottom lines. …

Massmed Releases 10th Annual Physician Workforce Study

Physician Shortages Found in 8 Specialties, Continued Primary Care Shortages, and Physician Concerns About Global Payments and Accountable Care Organizations: Waltham, Mass. — September 28, 2011 — The Massachusetts Medical Society today released its 2011 Physician Workforce Study showing critical and severe physician shortages in eight specialties, a sixth consecutive year of shortages of primary …

Bundled Payment? Not So Fast!

From Boston.com’s ‘White Coat Notes’: By Liz Kowalczyk A new survey from the Massachusetts Medical Society reveals interesting divisions among doctors over plans to hold down health care spending — and perhaps some words of warning for lawmakers. More than half — 58 percent — of the 1,100 doctors who responded to the society’s survey …

ACO Accelerated Development Learning Session

Sponsored by the Center for Medicare and Medicaid Innovation & Centers for Medicare and Medicaid Services On November 17-18, 2011, CMS is hosting its final “accelerated development learning session” (ADLS) to educate executives about ways to organize and administer ‘Accountable Care Organizations. The session will be held at CMS headquarters in Baltimore, MD. For more …

Follow The Money?

By Jeffrey L. Cohen Conversation regarding ACOs and even healthcare reform itself is misplaced. The well established facts are (1) more people will receive health care, and (2) the cost of healthcare will come down. It does not matter whether the stimulus is a new law or just marketplace reaction. The fact is that a …

CMS Conference Call Digest & Reaction

By Gregg Masters, MPH Tuesday, August 23rd, 2011 CMS held an informative conference call, on the new “Bundled Payments for Care Improvement” Initiative, click here for summary and replay instructions. For those who missed, this is a ‘Tweet Digest’ of some of the salient observations, thoughts and re-tweets. RT @2healthguru: CMS Bundled Payment Conference Call Now! | http://t.co/3wcTj8h #aco #ACOchat AaronBazemoreAugust …