On ACOs and their ‘Stealth’ Upside via @Farzad_MD CEO @AledadeACO

by Gregg A. Masters, MPH For those of you not on twitter and not following the former National Coordinator for HealthIT and now co-founder and CEO of ACO ‘Management Company’ Aledade, Farzad Mostashari, MD, I’m pasting his rich thread on ACOs and the prospects for its near term future as a tool in the healthcare […]

Senate GOP Health Reform Fail: Many Knew This Day Was Coming

by Gregg A. Masters, MPH Unlike many in the conversation on social media including the likes of Twitter, Facebook, LinkedIn and blogs such as ACO Watch, I have been active in the health reform exchange of ideas since registering my twitter handle @2healthguru in August of 2008. My participation has been of the ‘sweat equity’ […]

TrumpCare: What We ‘Know’?

by Gregg A. Masters, MPH You’ve no doubt heard the expression: ‘a picture is worth a thousand words‘. Well courtesy of Oliver Wyman Health we have an infographic that segments key provisions of ‘TrumpCare’s‘ impact on providers. For original graphic, click here, and timely commentary, see: ‘Special Election Coverage: What Now? The Impact of a […]

Health Insurance Industry Consolidation: Any ‘Qui Tam’ Exposure?

by Gregg A. Masters, MPH If you’re a health policy junkie like me, then the best show in town (or anywhere for that matter) was in the Dirksen Senate Office Building in Washington, D.C., where HMO industry veteran and Chairman, President and CEO of Aetna Mark T. Bertolini and Anthem President and CEO Joseph R. Swedish among […]

The Medicare Shared Savings vs. Pioneer ACOs

By Gregg A. Masters, MPH During the ‘risk download days’, i.e., from health plan to physician groups or networks and institutional health systems or hospital partners, whether via global percent of premium, or budget driven PMPM contracts, some of us used to joke that using healthcare actuarial data to manage forward clinical risk was like […]

Health Reform Readiness Infographic

By Gregg A. Masters, MPH We all love infographics, right? This one caught my eye today. Kind of a clever snapshot of the crap shoot we’re in relative to the legal and political uncertainty festering in the US today. The original graphic is courtesy of @HITconsultant via his blog here. Whether this captures the essence […]

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 […]

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; […]