CMS Conference Call Digest & Reaction

By Gregg Masters, MPH Tuesday, August 23rd, 2011 CMS held an informative conference call, on the new “Bundled Payments for Care Improvement” Initiative, click here for summary and replay instructions. For those who missed, this is a ‘Tweet Digest’ of some of the salient observations, thoughts and re-tweets. RT @2healthguru: CMS Bundled Payment Conference Call Now! | http://t.co/3wcTj8h #aco #ACOchat AaronBazemoreAugust […]

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 […]

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 […]

ACO Onramp or Sideline?

Listening in and tweeting about the CMS Days 1 & 2 (partial only) ‘Accelerated Learning Program’ yesterday and today, I am struck by the candor and willingness of CMS to both acknowledge & signal their intentions to work with the provider (both institutional and professional) and payor communities. As noted today by Rick Gilfillan, MD, […]

Day 2: Acquiring Core Competencies for ACO Success

8:00 – 8:15 Welcome to Day 2 – and Day 1 Summary  8:15 – 9:00 Remarks by CMS Leadership Don Berwick, MD, MPP, Administrator, Centers for Medicare & Medicaid Services Rick Gilfillan, MD, Acting Director, Center for Medicare and Medicaid Innovation, CMS 9:00 – 10:30 Overview of Core Competencies Essential to ACO Success Overview of Competencies Related […]

CMS: Accelerated Development Learning Program June 20 & 21, 2011

Day 1: ACO Formation: Leadership and Priority Setting On Day 1, presentations and discussion will emphasize the importance of understanding patient populations, market environment and the core functions of an ACO as a starting point that will guide ACO formation and provider relationships. The plenary, case studies and team based exercises will show how data […]

The 5 Imperatives of Accountable Care

By Jaan Sidorov, MD In order to manage the financial risks of being “accountable” to a population, provider organizations that want to be ACOs will have to do five things: 1) assess their assigned members’ individual risk (using health risk assessments (HRAs) and predictive modeling, 2) that then segment or stratify the population into three […]

ACO’s: If You Build ‘em, Will They Come?

Even the models for health reform hate the new HHS rule. The Obama Administration is handing out waivers far and wide for its health-care bill, but behind the scenes the bureaucracy is grinding ahead writing new regulations. The latest example is the rule for Accountable Care Organizations that are supposed to be the crown jewel […]

World Congress Leadership Summit on ACO’s: A Recap

By Gary Baldwin, Health Data Management Blogs I spent two days last week at the World Congress Leadership Summit on Accountable Care Organizations and my mind is just now recovering. As far as speaker quality goes, this conference (which offered concurrent tracks on ICD-10 and Meaningful Use) was top-notch, with dozens of speakers from hospitals, […]

The ‘ACO Sentiment Index’: A Tipping Point In Sight?

It’s been some 47 days (and counting) since CMS released the Notice of Proposed Rule on Accountable Care Organizations. Initial reaction was somewhat subdued, given its inherent complexity. Yet recently it seems CMS’s likely surviving allies may be patient advocates, Medicare beneficiaries and the patchwork of provider culture associated with Federal program funding, as well […]