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. …

Inside ‘accountable care’, challenges to the ACO

By Gregg A. Masters, MPH We hear considerable chatter on both sides of the ACO or ‘AC/e’ for accountable care focused enterprise absent the organizational drama of fielding an entity per se with the right structural roots or cultural ‘DNA’. Yet, as someone with principal leadership immersion both setting up and managing the ACO ancestry …

ACOs: A promising report ‘from the front’ via IOM

By Gregg A. Masters, MPH The prevailing sentiment towards ACOs in the market today can be grossly divided somewhere between the skeptic camp perhaps most gently represented by the oft quoted ‘unicorn’ attribution, credited to Mark Smith, MD, MBA, President and CEO of the California Healthcare Foundation: The accountable care organization is like a unicorn, …

FTC v. OSF Healthcare

By Gregg A. Masters, MPH One of the more popular downsides associated with the growth and dispersion of ACOs in provider [primarily of the ‘institutional variety’ aka hospital/health system] consolidation and asset concentration, is the risk of anti-competitive pricing leverage. You know, the ‘my way or the highway’ approach of certain providers with near or actual …

Accountable Care and Social Media: Can it connect the silo’s?

By Gregg A. Masters, MPH In an article posted on KevinMD by the always learned and insightful George Lundberg, MD*, the question was posed: can ACO’s re-invent the American Health Care System? A rather compelling and timely question given the fragmentation and vertical silo’s characteristic of American health care finance and delivery, and the ‘patient-centric’ enhancements …

SCOTUS, ACA & ‘Mis-informed’ Justices

By Gregg A. Masters, MPH As suggested yesterday while ‘the case has been submitted’ per Chief Justice Roberts upon conclusion of Day 3 oral arguments over the constitutional challenges to the Patient Protection and Affordable Care Act, the war to shape the national narrative is well underway. The blogosphere is ripe with buzz over the …

SCOTUS Consideration A ‘Pyrrhic Victory’ Regardless of Ruling

By Gregg A. Masters, MPH Ladies and Gentlemen, start your engines! A P/Y/R/R/H/I/C victory is defined by Wikipedia as: (/ˈpɪrɪk/) is a victory with such a devastating cost to the victor that it carries the implication that another such victory will ultimately cause defeat. An army of professional, neo-professional and outright ‘amateur’, including skin in …

SCOTUS and ACA Day 3 Part Deux: Medicaid Expansion

By Gregg A. Masters, MPH Here is the audio for ‘Florida vs. The Department of Health and Human Services’. Here is the transcript. We are actively searching out the submitted briefs and will post them once found. [Editor’s Note: I invite anyone who may have direct access to post them here in the comments section; …