FTC v. OSF Healthcare

By Gregg A. Masters, MPH One of the more popular downsides associated with the growth and dispersion of ACOs in provider [primarily of the ‘institutional variety’ aka hospital/health system] consolidation and asset concentration, is the risk of anti-competitive pricing leverage. You know, the ‘my way or the highway’ approach of certain providers with near or actual …

ACO Deep Dive Session at this Year’s Health Datapalooza

By Gregg A. Masters, MPH This just in from the Centers for Medicare and Medicaid Innovation and HDI Forum III: The CMS Innovation Center is helping plan one session of this two-day event. An ACO “deep dive” will demonstrate how Accountable Care Organizations can make effective use of claims data through innovative software services and …

Aetna teams with Hoag Orthopedic on bundled payment initiative

By Gregg A. Masters, MPH Leveraging up from the Integrated Healthcare Association’s (IHA) work (and others) in the bundled payment domain, @Aetna announced yesterday that in association with partner health information technology vendor @McKesson_HIT, their work with Hoag Orthopedic Hospital (aka @HoagOrthopedic) in Newport Beach, California. Bundled payment a child of the DRG payment system and long …

A 6th Difference Between ACOs and “AC-Like” Arrangements

By Vince Kuraitis The post originally appeared on the e-caremanagement blog. Last week I wrote about five key differences between formal ACOs (mainly care providers contracting with Medicare)  and informal Accountable Care-Like (AC-Like) arrangements between care providers and commercial health plans. Transaction costs Timing Incrementalism Flexibility Capital cost There’s an important  6th  difference worth noting: Visibility Formal …

Physicians Surveyed Gloomy About Healthcare Reform

By Patricia Salber Editor’s Note: Article originally published at The Doctor Weighs In. Recently, The Doctors Company, aka @doctorscompany, the country’s largest insurer of physician and surgeon medical liability, decided to survey doctors to determine what they are thinking and feeling about health reform.  The results are pretty gloomy. To put this in context, it is important to understand …

AMGA12: The ‘half life’ of a conference hashtag

By Gregg A. Masters, MPH Thanks to fellow healthtweep @PhilBaumann, I learned of another cool ‘infographic’ app to track and display select hashtag metrics posted to Twitter. Below is the infographic created with Visual.ly for the AMGA 2012 Annual Conference tagged #AMGA12: infographic created with visual.ly

The Braintrust of Accountable Care aka AMGA Descends Upon San Diego: Who Knew!

By Gregg A. Masters, MPH In a chance conversation with my friend, fellow ‘healthtweep’ and patient empowerment co-conspirator Dave DeBronkart, aka @epatientdave, I learned yesterday that AMGA aka @theAMGA was holding their annual meeting in San Diego. This is perhaps the largest concentration of ‘doers’ in the accountable care movement. Many participated in the landmark …

Accountable Care and HiMSS 2012

By Gregg A. Masters, MPH On the Wednesday, February 15th 2012 broadcast at 11AM Pacific/2PM Eastern, my special guest on the HIMSS 2012 Countdown Series was Vince Kuraitis,  aka @VinceKuraitis, publisher of the ‘e-care Management blog.We spoke on the connection between ‘HIT Platforms and accountable care.’ We’re one week out from the HIMSS 2012 conference …

CLOUD (Consortium for Local Ownership and Use of Data) Inc CEO on ‘N of 1 Accountable Care’

By Gregg A. Masters, MPH On the Friday, February 10th, 2012 broadcast of ‘This Week in Accountable Care’ I had the pleasure of chatting with Gary Lee Thompson, aka @GaryLeeThompson, and @CLOUDhealth on Twitter. As the second installment in our HIMSS 2012 countdown to Las Vegas, we spent some time getting to know Gary, understanding …

Wag The Dog: Will Subacute Providers Drive Upstream Innovation?

By Gregg A. Masters, MPH One of the more interesting and perhaps developing trends to watch in fledgling accountable care enterprises or ACOs is the blueprint adopted for their chosen pathways towards integration (clinical, economic or legal). Since all healthcare is [hyper] local and, once you’ve seen an ACO, you’ve seen one ACO its vital …