The ‘Medicaid Expansion’ Map: Where We Stand

By Gregg A. Masters, MPH Courtesy of the good peeps at The Advisory Board, aka @TheAdvisoryBd, the emerging picture of where we are going in terms of the mission critical leg of full ACA implementation, rests to a large degree with the Executive Offices of the respective states. As can be expected, there is a …

Next Round of CMS ACO Deadline Fast Approaching

By Gregg A. Masters, MPH Contextualizing the competitive market uptake given the ‘muddy waters’ aka hand-wringing, hedging, side-stepping or simply the ‘sensible accumulation of more data’ before taking the plunge into the controversial, in some quarters, Medicare Shared Savings Program via an ACO, will get a tad clearer as the deadline for submitting applications to CMS …

No Margin, No Mission or No Mission, No Margin for ACO Success?

By  Larry G. Raff, MPH, President, Copley Raff Article originally appeared on Becker’s Hospital Review Magazine Don’t look now, but the face of healthcare in the United States is about to change. The results will be better care, better patient outcomes, lower costs (or slowing of cost increases) and more financially sound providers. It would appear …

ACO Timeline: Key Dates and Application Process

By Gregg A. Masters, MPH According to the Centers for Medicare & Medicaid Services (CMS) as of July 1, 2012 89 new Accountable Care Organizations (ACOs) began serving 1.2 million Medicare beneficiaries in 40 States and Washington, D.C. These 89 new ACOs have entered into agreements with CMS, taking responsibility for the quality of care …

Standing Up the ACO: A View from Ground Zero

By Gregg A. Masters, MPH The clock has been officially ticking for the more mature ACO Pioneer class and recently anointed, perhaps less sophisticated pool of market entrants, in the Advanced Payment Model or standard Medicare Shared Savings Program. Clearly, top of mind strategic questions du’ jour in many board rooms and standing committee conversations …

The Advanced ACO Payment Model: An Unlikely Source of Innovation?

By Gregg A. Masters, MPH Recognizing that all healthcare is local and typically imprinted with variable leadership DNA, risk maturity levels, provider concentration or segmentation, competitive dynamics, urban v. suburban and rural market considerations, the Centers for Medicare and Medicaid Services (CMS) including the Center for Medicare and Medicaid Innovation (CMMI) refined and offered several …

ACOs: The 2012 Line-Up

By Gregg A. Masters, MPH A Profile of ACO’s Selected for July 1, 2012 Start Date Per CMS Annoucement: On July 9, 2012, the Centers for Medicare & Medicaid Services (CMS) announced the selection of 89 additional Accountable Care Organizations (ACOs) to participate in the Medicare Shared Saving Program.  The selected organizations will take responsibility …

SCOTUS Decision: ‘It’s Affirmed’, No It’s a ‘Divided Court’, Nope It’s Bye, Bye ‘Obamacare’

By Gregg A. Masters, MPH Holey rusted metal, Batman! The ground. It’s all metal. It’s full of holes. You know, holey. – Robin In ‘Mourdock Prepares for all SCOTUS Outcomes‘ we witness the elasticity and ‘whatever it takes’ determination to position the election-ering agenda of one aspiring Congressman. Watch as Indiana’s Treasurer Richard Mourdock covers his ‘ass’ …

A Bold Prediction by Tom Goldstein at SCOTUSblog

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: …

SCOTUS and the ACA: Reflections on the Judgements of the Court

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 …