By Gregg A. Masters, MPH It’s deja vu all over again! The theater circa 2010 at the Senate Finance Committee via the reconciliation process that delivered unto us the Patient Protection and Affordable Care Act, the framework enabling the accountable care industry, is in play again this time at the Supreme Court of the United …
Tag Archives: health reform
SCOTUS and the ACA: Day 1
By Gregg A. Masters, MPH Perhaps the hearing of the new century thus far? The Supreme Court of the United States takes up the challenges submitted with respect to the Patient Protection and Affordable Care Act. From the social media ‘journalism domain’, two hashtags received the predominant volume of tweets tagged to the event; they …
ACO Deep Dive Session at this Year’s Health Datapalooza
By Gregg A. Masters, MPH This just in from the Centers for Medicare and Medicaid Innovation and HDI Forum III: The CMS Innovation Center is helping plan one session of this two-day event. An ACO “deep dive” will demonstrate how Accountable Care Organizations can make effective use of claims data through innovative software services and …
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Aetna teams with Hoag Orthopedic on bundled payment initiative
By Gregg A. Masters, MPH Leveraging up from the Integrated Healthcare Association’s (IHA) work (and others) in the bundled payment domain, @Aetna announced yesterday that in association with partner health information technology vendor @McKesson_HIT, their work with Hoag Orthopedic Hospital (aka @HoagOrthopedic) in Newport Beach, California. Bundled payment a child of the DRG payment system and long …
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They Shoot Horses’ Don’t They?
By Gregg A. Masters, MPH Some may remember the movie ‘They Shoot Horses’ Don’t They‘ [caution: a rather graphic depiction of an exit]. The plot borrowing from the humane ‘taking them out of their misery’ [post injury] if you will, albeit in the context of certain determined dance partners ‘desperate to win a Depression-era dance marathon and the …
Bundled Payment: A Gateway to Accountable Care?
By Gregg A. Masters, MPH Advisory Board senior consultant and talented speaker (I might add), recently penned a blog post titled: ‘Bundled Payment: A Stepping Stone for ACO’s? I Don’t Buy It.’ I read this well constructed piece, but came to a rather different conclusion. In his set up Rob posits: As I have previously …
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A 6th Difference Between ACOs and “AC-Like” Arrangements
By Vince Kuraitis The post originally appeared on the e-caremanagement blog. Last week I wrote about five key differences between formal ACOs (mainly care providers contracting with Medicare) and informal Accountable Care-Like (AC-Like) arrangements between care providers and commercial health plans. Transaction costs Timing Incrementalism Flexibility Capital cost There’s an important 6th difference worth noting: Visibility Formal …
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Physicians Surveyed Gloomy About Healthcare Reform
By Patricia Salber Editor’s Note: Article originally published at The Doctor Weighs In. Recently, The Doctors Company, aka @doctorscompany, the country’s largest insurer of physician and surgeon medical liability, decided to survey doctors to determine what they are thinking and feeling about health reform. The results are pretty gloomy. To put this in context, it is important to understand …
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AMGA 2012: The complete ‘digital footprint’
By Gregg A. Masters, MPH The synopsis tweeted is pasted below: Final ‘digital footprint’ for #AMGA12: Reached 66,842 peeps via 273 tweets & an exposure of 638,735 impressions The trade group arguably representing a majority of forward thinking and innovation oriented, in terms of the active exploration of what and how accountable care business models can be articulated, …
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That’s Not an ACO!
By Gregg A. Masters, MPH One of the last ‘super PHOs’ standing circa the blood bath, grand ‘risk push-back’ and subsequent unwinding of many physician/hospital JVs of the 90s, Advocate Health Partners (aka @AdvocateHealth) and it’s aligned payor partner, Blue Cross and Blue Shield of Illinois (aka @BCBSIL) went public with their commercial ACO results …
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