Monitoring the birth of an industry
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 …
Continue reading “SCOTUS Consideration A ‘Pyrrhic Victory’ Regardless of Ruling”
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; …
Continue reading “SCOTUS and ACA Day 3 Part Deux: Medicaid Expansion”
By Gregg A. Masters, MPH Day 3 is no disappointment. The core argument by Florida AG Clement is that if the individual mandate is ruled unconstitutional, the entire Patient Protection and Affordable Care Act, absent the severability clause, must fall. Judging from the robust engagement of AG Clement, including an interesting line of questioning from …
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 …
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 …
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 …
Continue reading “ACO Deep Dive Session at this Year’s Health Datapalooza”
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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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 …
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 …
Continue reading “Bundled Payment: A Gateway to Accountable Care?”
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 …
Continue reading “A 6th Difference Between ACOs and “AC-Like” Arrangements”
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