Tom Scully Tutorial & Diagnosis of Medicare Program

By Gregg A. Masters, MPH An excellent ‘tutorial’ of sorts on the Medicare program is provided by Tom Scully, former Bush era (2001-2004) administrator of the Centers for Medicare and Medicaid Services, who opines on the Medicare and Medicaid Acts of 1965. He discusses President Lyndon Bain Johnson’s vision of the bill and looks at …

The 5th Annual ACO Summit

By Gregg A. Masters, MPH Can’t make the annual gathering in DC? Why not follow the conference via Twitter? In years past, I registered the ACO Summit as a conference with the healthcare hashtags registrar @Symplur. While the dashboard has not been updated with current information (the program description dates back to 2012), the conference …

Care Innovation Summit: A Very Sober Assessment!

By Gregg A. Masters, MPH This session is well worth the time invested. Two veteran healthcare wonks weigh in on the fundamentals of healthcare transformation and where we stand in the glide-path towards sustainability or fulfillment of the ‘triple aim’. Former CMS Administrator and healthcare attorney turned investor Tom Scully (Bush I Administration, see Wikipedia profile) …

My Chat with Nicole Bradberry

On the anniversary of the launch of the Florida Association of ACOs and the vital role of MSOs in supporting the operations of disruptive business models chasing the sustainable healthcare ecosystem I had a round two conversation with Nicole Bradberry, President and Chief Operating Officer of Orange Health Solutions and CEO of the Florida Association …

The Medicare Shared Savings Program: Class of 2015

By Gregg A. Masters, MPH The clock is ticking and the CMS continues its community outreach via their series of National Provider Calls on the application process for ACOs interested in submitting for the Medicare Shared Savings Program. The deadline for the class of 2015 is approaching with the next call scheduled for Tuesday, April …

123 ACOs Join the Shared Savings Dance Card

By Gregg A. Masters, MPH CMS has announced another round of certified ACOs participating in the Medicare Shared Savings Program effective for January 1, 2014. The complete list is available here. One observation I’ll make is Universal American (UAM) seems to remain active in building a national footprint of managed ACO collaborations. Their risk sharing …

AHIP Back in the ‘huddle’ and Reminiscent of the ‘GHAA Revolution’?

By Gregg A Masters, MPH It’s been a very long time since I participated in an AHIP event. In fact for the record I have NEVER been to an AHIP event – that is before this week in DC. I attended, filmed, tweeted, broadcasted from, and now blog about AHIP’s ‘Medicare, Medicaid and Dual Eligible …

A Juxtaposition of DC Irony

By Gregg A. Masters, MPH It’s Monday in DC and the Capitol is distinctly vibrant albeit with a peculiar though eclectic mix of create vs.  deconstruct energies. Some might say this attitudinal ‘chemical cocktail’ is in part sourced from a mix of ‘doers’, but also a smidge if not even a heaping portion of the just …

ACO’s as Sinkhole Medicine? Nah…

By Gregg A. Masters, MPH As the battle for the accountable care narrative grinds on both in the media and the respective P&Ls of participant ACOs, a recent article in Healthcare Finance News titled: Accountable care organizations: cost-effective solutions or financial sinkholes? is noteworthy.  At first I chuckled, then thought, more headline ‘eye porn’ or is …

An ACO ‘Shell Game?’ Of Arrows, Pioneers & Patsies’

By Gregg A. Masters, MPH In ‘Pioneers Take Arrows While Settlers’ Get the Land’ I reported in a ‘just the facts ma’am’ fashion the developing narrative as proferred by Modern Healthcare, CMS, and the AMGA as to whether this was to be seen as good news or bad news. Recently the witty industry veteran and …