ACO’s: It Ain’t Just About ‘Health IT’

By Gregg A. Masters, MPH We’ve been somewhat on an unexpected hiatus since HiMSS 2012 in Las Vegas, but are now back with intent to assimilate and interpret the subtext or tea leaves driving the transformation towards accountable care. I will leave that update to another blog post, but for now, a quick comment on …

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 …

Monarch HealthCare: Leveraging Expertise in Population Health Management

A Case Study in the Brookings–Dartmouth ACO Pilot Program This case study examines the progress that Monarch HealthCare, a physician led independent practice association in Orange County, California, has made in its efforts to become accountable for the quality and overall cost of care for its patient population. Monarch HealthCare is one of the provider …

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 …

ACO or vACe aka virtual Accountable Care enterprise?

By Gregg A. Masters, MPH (inspired by Vince Kuraitis) e/n/t/e/r/p/r/i/s/e/ = A business (also known as enterprise or firm) is an organization engaged in the trade of goods, services, or both to consumers… The etymology of “business” relates to the state of being busy either as an individual or society as a whole, doing commercially viable and profitable …

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 …

Leavitt Partners: Growth and Dispersion of Accountable Care Organizations

Extract Only: Following the Patient Protection and Affordable Care Act’s emphasis on Accountable Care Organizations (ACOs) and the announcement of the Medicare Shared Savings Program, an increased interest has emerged among providers and payers to create ACOs. To date, little has been published regarding the types and locations of organizations adopting principles of accountable care. …

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 …

CMS Grant Program to Stimulate Public/Private Multi Payor Partnerships

By Gregg A Masters, MPH The Centers for Medicare and Medicaid Services via the innovation center will award up to $30 million to innovative public/private partnerships, and will likely favor those ventures with multi-payor breath. Via the ‘We Can’t Wait for Innovation Challenge’, a total of $1 billion is intended to stimulate the creative juices …

ACOs and #OccupyHealthcare: Connecting the Dots

By Gregg A. Masters, MPH Can you feel it? “There is a great disturbance in the Force” | Emperor Palpatine in The Empire Strikes Back At least two macros have placed this convergence experience in motion: the March 2010 passage of the Patient Protection and Affordable Care Act, et sequelae (i.e., the final rule on ACOs and the Medicare …