Day 2 4th National ACO Summit

By Gregg A. Masters, MPH Year four for the annual DC gathering of the best and brightest minds in the ACO space, convened yesterday in pre-conference sessions at the Hyatt Regency, DC. Day 2 kicks off with a keynote by Senator Ron Wyden @RonWyden, followed by a power packed tour de force of ACO operatives: […]

The Medicare Shared Savings [ACO] Program Class of 2014: To Submit, or Not to Submit?

By Gregg A. Masters, MPH Thinking about submitting for participation in the ‘statutory’ Medicare Shared Savings (MSSP) vs. Pioneer, or Advanced payment model ACO programs? While there is certain overlap and confusion, stay tuned for CMS to clarify both in nuance terms and well as key operational indicia. By and large my understanding is this […]

Medicare Shared Savings Program & Advance Payment Model Application Process

By Gregg A. Masters, MPH Per recent CMS Provider Call: From a CMS ‘National Provider Call’ on July 31, 2012, this is a walk through of the Medicare Shared Savings Program and Advance Payment Model Application Process. The review includes both an overview, and update specific to the two distinct programs. A Q&A session follows […]

Medicaid and HITECH Conference: Fourth Annual

By Gregg A. Masters, MPH From the CMS. Originally posted here. To view the live conference video streaming feed, including accessing the agenda and related conference materials and handouts, click here. Please join the Centers for Medicare & Medicaid Services (CMS) as we host a three-day conference for State Medicaid agencies, and other Federal and […]

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; […]

SCOTUS Audio and Transcript: National Federation of Independent Business v. Sebelius

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 […]

ACO reimbursement, bundled payments, clinical quality measures and public profiles will be based on ICD-10 data

By Lynne Thomas Gordon Healthcare leaders are juggling multiple pressures, including the consistent delivery of high-quality patient care, evaluation and development of accountable care organizations, the careful management of sensitive patient data, achieving meaningful-use criteria, making the most efficient use of the newest technology and stretching revenue to maintain end-to-end coverage of their bottom lines. […]

Massmed Releases 10th Annual Physician Workforce Study

Physician Shortages Found in 8 Specialties, Continued Primary Care Shortages, and Physician Concerns About Global Payments and Accountable Care Organizations: Waltham, Mass. — September 28, 2011 — The Massachusetts Medical Society today released its 2011 Physician Workforce Study showing critical and severe physician shortages in eight specialties, a sixth consecutive year of shortages of primary […]

ACO Accelerated Development Learning Session

Sponsored by the Center for Medicare and Medicaid Innovation & Centers for Medicare and Medicaid Services On November 17-18, 2011, CMS is hosting its final “accelerated development learning session” (ADLS) to educate executives about ways to organize and administer ‘Accountable Care Organizations. The session will be held at CMS headquarters in Baltimore, MD. For more […]

Follow The Money?

By Jeffrey L. Cohen Conversation regarding ACOs and even healthcare reform itself is misplaced. The well established facts are (1) more people will receive health care, and (2) the cost of healthcare will come down. It does not matter whether the stimulus is a new law or just marketplace reaction. The fact is that a […]