The ACO Proposed Rule: A [Skeptical] View From ‘The Street’

By Sheryl R. Skolnick, Ph.D, and Nick Leventis A first glance at proposed Medicare ACO Rule:  What are we missing? One of the most eagerly awaited proposed regulations under the Patient Protection and Affordable Care Act (PPACA) as amended (health reform), has been the rule that would define and regulate Accountable Care Organizations, i.e., patient-centered …

ACO Roundtable | On ACO Watch: A Mid-Week Review

On Friday April 1st, 2011 (yes, ‘April Fools day’) at 4PM Eastern and 1PM Pacific ACO Watch: A Mid Week Review will host a special roundtable series on the ‘hot of the press’ Notice of Proposed Rule pertaining to the implementation of Accountable Care Organizations. For the published rule, click here. Our roundtable team will …

They’re Here!

After 6 or so months of waiting for guidance on the implementation of Accountable Care Organizations (ACOs), the Centers for Medicare and Medicaid Services finally released the first round of the ‘notice of proposed rule making’ via: Centers for Medicare & Medicaid Services | 42 CFR Part 425 [CMS-1345-P] RIN 0938-AQ22 | Medicare Program; Medicare Shared Savings …

IPAs Again

By Jeffrey L. Cohen Independent practice associations (“IPAs”) are gaining momentum in response to healthcare reform and market changes responding to healthcare reform.  In an era when consultants are selling one-size-fits-all solutions, physicians have to consider IPAs as a viable option once again, but they have to fine tune their expectation to recent changes. In …

Ignoring Primary Care: Obscuring the Obvious

By Jeffrey L. Cohen Healthcare reform used to imply just regulatory change.  As time marches on, it also implies market change.  Most pundits agree that, whatever happens to the healthcare reform law, whether or not it is found to be unconstitutional, the healthcare business community is unleashed.  Change is afoot! If you follow my nahsaying …

Head Spinning Post HealthCamp San Diego, Health 2.0 Spring Fling and more

Whew! What a week here in San Diego, and the oven is just starting to warm up in this resource rich county peppered with cutting edge integrated delivery systems, pockets of physician thought leadership, encircled by high concentrations of bio-tech, life sciences and wireless health innovators, including forward thinking academic centers of excellence. What’s all this got to do with …

Clinical Integration Key To Successful ACO Development

As posed by Jonathan Bush, President & CEO of AthenaHealth in a superb interview by Matt Holt, aka @boltyboy on Twitter (thanks again, Matt!), at the HIMSS 2011 annual conference in Orlando last week, A/C/O development for some institutionally led ACO initiatives is merely ‘code’ for the license to roll-up, or otherwise acquire physician practices. ‘Danger Will …

ACO Watch: A Mid-Week Review with William DeMarco

On the Wednesday, March 2rd 2011 program at 11AM Pacific and 1PM Central Time, my special guest commentator is noted author, speaker and consultant William DeMarco, for more information, click here. DeMarco is the President & CEO of DeMarco & Associates, Inc., a national, independent healthcare consulting firm specializing in healthcare delivery system redesign and …

HIMSS Post Script

Head still spining but lots to say on my trip to HIMSS 2011 in ‘Orlando-topia’! Processing this morning: ‘tough sledding ahead for EHR industry’ a vignette of an overheard conversation between a very smart EHR engineer, and a community hospital CMIO. Crystallizes in my view the ‘dis-connect’ between some in the EHR industry and their …

Leading from the Future: A Thought Leadership Event on Accountable Care Organizations

And so the day/event arrives which brought me from San Diego to HIMSS 2011 Orlando arrives. Leading from the Future kicks off (though apparently there’s been some confusion with the schedule), at 1PM with Lee Sachs, EVP, and Chief Medical Officer, Advocate Health Partners. Advocate is perhaps one of the prototype ‘institutionally lead’, though private …