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 …
Tag Archives: health systems
Accountable Care: In Search of Anchor Business Model(s) for the ‘All In’ Healthcare Eco-system
By Gregg A. Masters, MPH Part One in a continuing series exploring the ‘all in’ healthcare eco-system (as enumerated by Reed Tuckson, MD aka @DrReedTuckson below) There is no room in the cost curve to accommodate things that don’t add value An article published late last night titled ‘Hospital Groups Will Get Bigger, Moody’s Predicts‘ presented …
L. Gordon Moore, MD on the Role of Primary Care in Accountable Care
By Gregg A. Masters, MPH In a week when Blue Shield of California served Monarch Healthcare as proxy for Optum aka United HealthGroup a $10.5 million damages demand for arbitration enumerating a number of contractual breaches, the following headline was also in the news (for full article, click here): Doctors decry Kern Medical Center cut of …
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[Re-post] The ‘Medical Aggregators’: Are We Entering Round Deux?
By Gregg A. Masters, MPH [Originally written by @2healthguru on June 1, 2010 at 11:00 AM] First a little historical context: For those with a healthcare ‘event horizon’ slightly more seasoned than the current health reform ‘conversation’, you might remember the initial round of aggregation in medicine lead by disruptive nameplates such as MedPartners (now …
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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. …
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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 …
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Physician Hospital Co-Management Arrangements
By Marshall R. Burack, Akerman Senterfitt In recent years, a number of regulatory and economic factors have driven hospitals and physicians to find ways to work together in a more coordinated manner in order to improve the quality and reduce the cost of patient care. Factors causing hospitals and physicians to work together include, among other …
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Core ACO Health Information Infrastructure: Analytics
By John W. Loonsk, Chief Medical Officer, CGI The Accountable Care Organization draft rule is out, and the political, clinical and technical trek to establishing these lynchpins of the Affordable Care Act and health reform is on. Community physicians and hospitals are jockeying for potential shares of the incentives that will be distributed via the …
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Summer Doldrums in ‘Taming The Beast’? Hardly!
We’ve been on somewhat of a ‘hiatus’ from the health reform, accountable care and health care enterprise organizational and market positioning conversation, yet the industry is not standing still. A few notable announcements will highlight some of the quiet if not ‘semi-stealth’ movement underway while the CMS/provider community regulatory fermentation process plays out. Congrats to …
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Didn’t Take Long! Meet Essence Group Holdings Corporation an ‘ACO/PPMC 2.0′
Not long after the post ‘Waiting on ACOcor‘ did I learn of the company Essence Group Holdings Corporation via a Tweet on Thursday, July 2oth, 2011 by @KHNews: Leading Venture Capitalists Place A Bet On #ACOs including EGHC One of the ‘leading VC’s’ referenced in this case happens to include ‘In Search of the Next Big Idea’, Kleiner …
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