Surprise Medical Bills In Context: Is Tech the Solution?

By Fred Goldstein, MS and Gregg Masters, MPH It’s Q1 2020 and everyone is now rightfully preoccupied with the recent World Health Organization (WHO) declaration of the COVID-19 as a global pandemic. Congress, the White House, National Institutes of Health (NIH), the Center for Disease Control (CDC) and local state and county health departments (collectively …

The ‘NexGen ACO’: CMS Speaks [again]

By Gregg A. Masters, MPH At one level you have perhaps the most risk savvy and successful operators in the Medicare Advantage space aka ‘CAPG‘ (the California Association of Physician Groups) closely tethered to it’s less geographically constrained though California domiciled partner IHA as in ‘Integrated Healthcare Association’ explicitly advocating for the preservation of the …

From “Unicorns to Multicorns” ACOs Morphing Below Radar

By Gregg A. Masters, MPH This is a continuing long tail series following the content rich and strategy insight generous experiences reported by the ‘risk savvy braintrust’ at the 3rd National ACO Congress aka the ‘walking the talk of innovation’ crowd. From sound-bytes to sensibilities? Via UC Berkeley Professor Steven Shortell, Ph.D., MPH, Professor, School …

Smart Money, ACOs and Risk Savvy Medical Managers

By Gregg A. Masters, MPH I’ve been pondering the ‘where is the ACO smart money’ question for a while as in its answer lies greater clarity than the current high ‘noise to signal’ ratio experienced by many. Since we witness a range of opinion on whether the healthcare industry can self correct via proactive conscious …