Back to the Future: Another Run for PPMC’s v2.0?

By Gregg A. Masters, MPH This is about as good a framing of the failed run during the 1990s when the physician practice management (PPMC) industry caught the attention of Wall Street and had a 10 year run before a literal collapse of what many considered a ponzi scheme at heart. Bottom line is Wall …

The Window on the ACO Class of 2014 Is Closing Soon!

By Gregg A. Masters, MPH For those of you not glued to your Tweetdeck, Hootsuite or other business or brand ‘listening’ outposts and/or dashboards 24/7, let me paste a series of tweets posted by @ACOwatch earlier today extracting some key points made by Martie Ross of PYA Health on the risks of inaction relative to …

Medicare Shared Savings Program: A Road Map

By Gregg A. Masters, MPH In the litany of ‘whitepapers’, client briefings and less than useful ‘look at me’ marketing pieces that have hit the web since passage of ACA, here is one that is worth the look. Principally authored by Martie Ross of PYA, the title is simply ‘Medicare ACO Roadmap’. Tomorrow on ‘this week …

The 9 C’s of Accountable Care with Tom Doerr, MD

By Gregg A. Masters, MPH Recently I came across a blog post titled ‘The Nine C’s of Successful Accountable Primary Care Delivery’ by Tom Doerr, MD. I had the additional opportunity to participate in a portion of The Collaborative Payer Model: 5 Lessons for Accountable Care webinar which Dr. Doerr led wherein he unbundled some …

CMS Call: Tips on Submitting Application for Medicare MSSP ACO

By Gregg A. Masters, MPH There are those trying to figure out how to best ‘build out’ if not perfect (as in the Pioneer class) an ACO, while an even larger pool ‘leaning’ in the direction of playing, are focused on the mechanics of the application process. As with the ‘interface model’ that’s kept the …

First Round of ACO Results Due Soon

By Gregg A. Masters, MPH Most of us watching and trying to interpret the ACO tea leaves are both challenged yet determined to assimilate a coherent picture of what’s happening at the ‘industry zeitgeist’ level. As noted previously, once you’ve seen one ACO, you seen one ACO. Since there is ample confusion from the differences …

Meet the Florida Association of ACOs (FLAACOS)

By Gregg A. Masters, MPH I just finished chatting with the instigator of the Florida Association of ACOs (FLAACOS). Nicole Bradberry, CEO. Nicole’s story in part tracks back to the first meeting of the National Association of ACOs (NAACOS), where she got the idea to build a state level resource for identify and share best practices, drive …

The Medicare Shared Savings [ACO] Program Class of 2014: To Submit, or Not to Submit?

By Gregg A. Masters, MPH Thinking about submitting for participation in the ‘statutory’ Medicare Shared Savings (MSSP) vs. Pioneer, or Advanced payment model ACO programs? While there is certain overlap and confusion, stay tuned for CMS to clarify both in nuance terms and well as key operational indicia. By and large my understanding is this …

So What’s with the [ACO] Bundled Payment Thing?

By Gregg A. Masters, MPH It’s interesting to note the more ‘things change’, the more they ‘[seem] to stay the same?’ Let me explain…. In a recent observation by Rob Lazerow featured in the post ‘How Are ACOs Doing‘ the Advisory Board Senior Consultant dubs 2013 as the ‘year of accountable care’. He then goes …

Signal to Noise Challenges in ACO Actuarial Data: Who’s ‘At Greater Risk?’

This post originally appeared at HealthHombre. The national health expenditure data released last week showed relatively modest 2011 growth, which promptly provoked a back-and-forth about what the figures truly say and what they portend for holding spending in check going forward.  Amid considerable mental gear gnashing, the data have been assessed in light of such potential cost influencers as lingering recessionary effects, clinical v. administrative drivers, and imminent arrival of the full-bore ACA.  Occupying several nodes along the public-opinion continuum, headlines ranged from “Spending …