Monitoring the birth of an industry
By Gregg A. Masters, MPH News flash! we’re at 25 hours and counting for SCOTUS opinions on the trilogy of decisions they are set to rule on if the opinions are to book in this calendar year of the Court. The following Tweet by @JoshGray_DC of the Advisory Board aka @TheAdvisoryBD caught my attention this morning: …
Continue reading “A Bold Prediction by Tom Goldstein at SCOTUSblog”
By Gregg A. Masters, MPH While trolling for interesting tidbits on the web, I came across what appears to be a simplified representation of the impact of the Court’s ruling. The original piece was offered by Emily Corwin and posted under the title ‘SCOTUS And The Affordable Care Act: An Overview.’ A deeper dive into …
Continue reading “A ‘Back of the Napkin-esque’ Review of the SCOTUS ACA Decision Tree”
By Gregg A. Masters, MPH On a special edition of ‘This Week in Accountable Care‘ we’re hosting a post ‘SCOTUS’ (Supreme Court of the United States) reflections session to consider the implications of their rulings. We’re somewhat ‘on call’ in the scheduling department but SCOTUS must announce their opinion on Thursday, June 28th shortly after …
Continue reading “SCOTUS and the ACA: Reflections on the Judgements of the Court”
By Gregg A. Masters, MPH Per the SCOTUS blog: Amy Howe: “We do not expect any additional opinions today, so NO health care today. Few laws have and continue to stir up such emotion, political spin and both authentic and misinformed interest. Perhaps the mood [for some of us] is best captured in the following …
by Bryn Nelson, PhD Opportunities to be more efficient are largely under care of hospitalists, ACO director says Several years ago, Presbyterian Medical Group in Albuquerque, N.M., decided to integrate three elements of its healthcare system: its health plan, the employed medical group, and the hospital delivery system. Knitting those parts into a cohesive whole …
By Gregg A. Masters, MPH Found on the Accountable Care Bulletin. Hospitals considering accountable care strategies have plenty of options to choose from, but deciding where to begin can be confusing. Joseph Damore, Vice President of Engagement and Delivery for Premier, explores how hospitals can test the waters of accountable care, from engaging staff in wellness …
Continue reading “How Hospitals Can Test the Waters of Accountable Care”
By Gregg A. Masters, MPH Lets begin with the core observation that both ACOs (or more broadly cast and therefore agile accountable care undertakings) and the Meaningful Use program are for the most part children of statute with intent to impact a less than optimal if not failing health care delivery and financing paradigm. The …
Continue reading “Towards a Framework of an ACO (Accountable Care) and Meaningful Use Crosswalk”
By Gregg A. Masters, MPH During the ‘risk download days’, i.e., from health plan to physician groups or networks and institutional health systems or hospital partners, whether via global percent of premium, or budget driven PMPM contracts, some of us used to joke that using healthcare actuarial data to manage forward clinical risk was like …
Continue reading “The Medicare Shared Savings vs. Pioneer ACOs”
By Gregg A. Masters, MPH CMS has disclosed the recipients of the innovation grants this morning. Read their profiles below, from ‘Camp Courage to the Regents of the University of California’ representing an eclectic mix of coast-to-coast academic plays, system lead and entrepreneurial initiatives): BETH ISRAEL DEACONESS Project Title: “Preventing avoidable re-hospitalizations: Post-Acute Care Transition Program …
Continue reading “First Round of CMMI Innovation Grants Announced”
By Gregg A. Masters, MPH We hear considerable chatter on both sides of the ACO or ‘AC/e’ for accountable care focused enterprise absent the organizational drama of fielding an entity per se with the right structural roots or cultural ‘DNA’. Yet, as someone with principal leadership immersion both setting up and managing the ACO ancestry …
Continue reading “Inside ‘accountable care’, challenges to the ACO”
acowatch.me 