Monitoring the birth of an industry
By Gregg A. Masters, MPH When ‘Acting Administrator’ of CMS Don Berwick gleefully announced the final rule guiding the development and Federal certification of Accountable Care Organizations (ACOs) on October 20th, 2011, he thereby officially unleashed the power of the largest single payer for healthcare services in the United States to simultaneously govern while informing …
Continue reading “4th National ACO Summit: Some Contextual Reflection”
By Gregg A. Masters, MPH We previously (see: National ACO Patient Engagement Benchmarking Survey) brought attention to a national patient engagement bench-marking survey wherein @ACOwatch collaborated with Dave Chase, et al at Avado to field an instrument. While at ‘The ACO Must…’ Towards an Operational Definition of ‘Patient Engagement’ we addressed the indica of patient engagement as well as the statutory context of Section …
Continue reading “Patient Engagement and ACOs: A Timely Union or Cute Ad Copy?”
By Gregg A. Masters, MPH For some ‘IPA‘ is about conversation and spirit enabled conviviality often in micro-breweries scanning the daily options for consumption. While for others IPA conjures up images and memories of labored if not painful efforts to steward the phased transformation of the American healthcare [non]system from a production oriented fee-for-services silo …
Continue reading “Time for a New ‘IPA’? The Independent Patient Association”
This post originally appeared at HealthHombre. The national health expenditure data released last week showed relatively modest 2011 growth, which promptly provoked a back-and-forth about what the figures truly say and what they portend for holding spending in check going forward. Amid considerable mental gear gnashing, the data have been assessed in light of such potential cost influencers as lingering recessionary effects, clinical v. administrative drivers, and imminent arrival of the full-bore ACA. Occupying several nodes along the public-opinion continuum, headlines ranged from “Spending …
Continue reading “Signal to Noise Challenges in ACO Actuarial Data: Who’s ‘At Greater Risk?’”
By Gregg A. Masters, MPH Ah yes, those ‘white waters’ of health reform or more aptly put ‘transformation’ (you know, the triple aim thingy). As more has been revealed, I offer a quasi ‘mea culpa’ of sorts… Light years ago, or so it seems, as I began at least the blogging portion of my social …
Continue reading “None of the Ransomed Ever Knew How Deep Were the Waters Crossed”
Note: An Opinion Piece By Gregg A. Masters, MPH If you were not dialed into the first presidential debate tonight, you missed a rather tortured, poorly moderated, POTUS failed series of opportunities to credibly discredit his health reform ‘etch-a-sketch’ opponent. In the post debate punditry, and fact checking, this one is likely to ascend to …
Continue reading “Yes We Can? No, He [POTUS] Didn’t. Not Tonight.”
By Gregg A. Masters, MPH Amidst the relentless noise, fear mongering, hand wringing and incessant misrepresentation of both the legislative history as well as decades of development of sensible health policy context for competing models of managed competition or healthcare market reform, J.D. Kleinke in a recent New York Times Opinion piece titled ‘The Conservative …
By Gregg A. Masters, MPH We’ve been somewhat dormant on ‘This Week in Accountable Care‘ during the summer months, but there has been no shortage of announcements with the CMS series of proscribed deadlines, as well as the purely discretionary dates associated with ACO arrangements negotiated and launched in the private aka ‘commercial’ market. Today we …
By Gregg A. Masters, MPH Well Avik Roy, aka @aviksroy, who describes himself as: a Senior Fellow at the Manhattan Institute. Healthcare policy writer for Forbes & National Review. Romney advisor. Independent healthcare investment analyst. and the Manhattan Institute, which describes itself as: a free market thinktank dedicated to developing/disseminating new ideas that foster greater economic …
Continue reading “More on the RyanCare v. Affordable Care Act ‘Conversation’”
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 …
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