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 …

ACO Roundup | August 29th 2012

By Gregg A. Masters, MPH We’ve been somewhat dormant on ‘This Week in Accountable Care‘ during the summer months, but there has been no shortage of announcements with the CMS series of proscribed deadlines, as well as the purely discretionary dates associated with ACO arrangements negotiated and launched in the private aka ‘commercial’ market. Today we …

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 …

Hospitals Back in Insurance Biz: Good News or Bad News?

By Gregg A. Masters, MPH I awoke this morning to read the following headline: Hospitals Look To Become Insurers, As Well As Providers Of Care To wit, I ‘tweeted’: OK, it’s reallly ‘deja vu’ all over again! ‘Hospitals Look To Become Insurers, As Well As Providers Of Care’ For complete original article, click here. Mind …

More on the RyanCare v. Affordable Care Act ‘Conversation’

By Gregg A. Masters, MPH Well Avik Roy, aka @aviksroy, who describes himself as: a Senior Fellow at the Manhattan Institute. Healthcare policy writer for Forbes & National Review. Romney advisor. Independent healthcare investment analyst. and the Manhattan Institute, which describes itself as: a free market thinktank dedicated to developing/disseminating new ideas that foster greater economic …

‘RyanCare’ v. ‘The Affordable Care Act’: Bring on the Death Panels for Grandma

By Gregg A. Masters, MPH Well the ‘repeal and replace’ health reform war is apparently shifting into overdrive via the selection of Congressman Paul Ryan to join the Romney ticket. This is a content rich conversation with something for everyone as we reconcile ‘ACA-esque’ RomneyCare with the voucher based weapon of mass Medicare destruction aka …

Big Data, Little Information, and the ACO Big Picture

By Michael Planchart, Perficient, Inc. The Journey of a thousand miles towards an ACO begins with one step. Healthcare organizations are coming to realize that the programs stimulated by the ARRA – HITECH Act, Meaningful Use (MU) and Accountable Care Organizations (ACO), require something that they don’t have in sufficient quantities, the desired type or in …

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 …