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Tag Archives: Ideal Medical Practices

Vertically integrated delivery system can be a boon or bust depending on the principles driving the process

L. Gordon Moore, MD With permission from the author I post below a long anecdote about a high functioning solo primary care practice looking to link up with a local group.  This is supposed to be the way to a future state in which primary care practices operate as the front lines of vertically integrated …

Continue reading “Vertically integrated delivery system can be a boon or bust depending on the principles driving the process”

Posted byAdminNovember 24, 2010November 24, 2010Posted inUncategorizedTags: ACA, accountable care organization, accountable care organizations, aco, change, cms, disruption, health, health policy, health reform, healthcare, Ideal Medical Practices, innovation, l Gordon Moore, medicare, mssp, PPACA, transformationLeave a comment on Vertically integrated delivery system can be a boon or bust depending on the principles driving the process

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A ‘pulse check’ on the race!

With the March 2010 passage of the ‘Patient Protection and Affordable Care Act (PPACA), the ‘follow the money’ floodgates are once again opening for hospitals, physicians, integrated delivery systems, health plans, and consultants. This time, instead of migrating ‘HMO lite’ (neither staff nor group model) platforms into mainstream medicine via IPAs, or MeSH model JV’s, we’re now talking about their ‘new and improved’ successors broadly cast as ‘Accountable Care Organizations aka ‘ACOs’.

Some call it ‘managed care 2.0′, while the more cynical among us envision it as the full employment act for consultants, and health care lawyers, shopping a not ready for prime time, if not fundamentally flawed ‘business model’.

Given the high level of interest in these ostensible quality promoting, while cost restraining entities, the staggered implementation timeline in general, the ACO January 1, 2012 fuse in particular, and the broad brush framework intentionally reflected in PPACA, we thought it a good idea to keep a pulse on the ramp up to the highly anticipated ‘go live’ date.

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