And the Circle Grows! CMS Announces Another Round of ACOs

By Gregg A. Masters, MPH Industry watchers have to be impressed by the announcement from CMS today that effectively doubles the ACO count from prior reported totals. Is it just me, or can you can sense the subtle shift in market sentiment from skepticism to loss of first mover opportunity in one’s market. For the list of …

More or Less Confusion in ACO World: Who Really ‘Certifies’ ACOs?

By Gregg A. Masters, MPH The ‘signal to noise’ discernment premium went up a notch recently with the following tweet: @NCQA Read more about newly recognized ACO @KelseySeybold and their commitment to quality and value in the Houston Chronicle http://ow.ly/g6vzl 7:39 AM – 14 Dec 12 And with that breaking news announcement (Kelsey Seybold is …

New England Healthcare Institute (NEHI) ACO Innovation Summit

November 27th, 2012 [Editor’s note: portions of broadcast present with low audio]. NEHI Summit Explores Innovations In the Emerging ACO Landscape The opportunities – and the challenges – presented by the rapid movement towards Accountable Care Organizations were the subject of a recent NEHI summit that drew perspectives from across health care: “I think ACOs …

Accountable Care: It’s Growth, Complexity, Prevalence and Promise?

By Gregg A. Masters, MPH From Leavitt Partners. a webinar held on November 8th, 2012. The focus is on ACOs, and represents an update post elections from their previous reporting here.

The ACO Surprise

By Gregg A. Masters, MPH Timing can be everything at times, no? Just after completing the post: ‘From “Unicorns to Multicorns” ACOs Morphing Below Radar‘, I received information from Oliver Wyman, a Marsh McLennan Company, previewing a study which documents (at least for some) ‘unexpected’ results in the world of ACO penetration. For background market …

ACOs, ‘HMO lite’ or ‘DNA of the Transformation’?

By Gregg A. Masters, MPH I am regularly amused by some in the popular press as well as guerrilla social media theater (myself included in that bucket) by the continued doubt if not outright dismissal of ACOs as the central spine if not fulfillment DNA of ‘the new, new thing/imperative’, i.e., to manifest the ‘triple aim’ as the sustainable …

3rd National ACO Congress Video Mashup

By Gregg A. Masters, MPH For a taste of the proceedings, check out the video mashup below: Overview of the ACO Congress Since the Second National Accountable Care Organization Congress in November 2011, the ACO trend has demonstrated great momentum. As of June 2012, there are more than 200 ACOs identified in the U.S., a …

William J. DeMarco on Provider Contracting, ACOs, Value Based Purchasing, and Practice Acquisition

By Gregg A. Masters, MPH Courtesy of Clive Riddle and MCOL aka @M_C_O_L, author, consultant and long term managed care industry verteran reflects on the ACO environment, unbundles and expounds on the range of entrants in the ACO space and reports on the status of the playing field as of the May 2012 data point. …

Medicare Shared Savings Program & Advance Payment Model Application Process

By Gregg A. Masters, MPH Per recent CMS Provider Call: From a CMS ‘National Provider Call’ on July 31, 2012, this is a walk through of the Medicare Shared Savings Program and Advance Payment Model Application Process. The review includes both an overview, and update specific to the two distinct programs. A Q&A session follows …

ACO Explosion

By Gregg A. Masters, MPH On ‘This Week in Accountable Care‘, Wednesday, September 5th, 2012 at noon Pacific and 3PM Eastern, my special guest is industry veteran William J. DeMarco, President and CEO of Pendulum Health. Active since the roll-out of the HMO Act, and instrumental in the development of marquee names and properties in the managed …