Monitoring the birth of an industry
By Gregg A. Masters, MPH Looks like we’ll get the results of the first round of innovation grants funded via the Center for Medicare and Medicaid Innovation. Rumor has it that there will be a 2nd round of grant funding. I assume we’ll minimally hear about round 1 awards, and perhaps more. Detail via CMMI …
Continue reading “CMS Innovation Center announcement supporting health care innovation”
By Vince Kuraitis This post originally appeared at eCare Management Blog. One of the biggest concerns about ACOs has been their potential to enable market consolidation – that by uniting health care providers the ACO gains market clout and ability to charge higher prices. While this is a legitimate concern about ACOs, so far it’s not playing out. …
Continue reading “Feel for the enforcers: Shades of Maytag Repair Man?”
By Karen M. Cheung Regardless of how the U.S. Supreme Court will rule on the healthcare law, accountable care organizations are moving forward in coordinating patient care, improving quality and cutting costs. With yesterday’s announcement from the Centers for Medicare & Medicaid Services, 27 providers will be embarking on the Medicare Shared Savings Program, effective …
Continue reading “ACO train has left station SCOTUS decision irrelevant to market innovation?”
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”
By Gregg A. Masters, MPH From the CMS. Originally posted here. To view the live conference video streaming feed, including accessing the agenda and related conference materials and handouts, click here. Please join the Centers for Medicare & Medicaid Services (CMS) as we host a three-day conference for State Medicaid agencies, and other Federal and …
Continue reading “Medicaid and HITECH Conference: Fourth Annual”
By Gregg A. Masters, MPH The prevailing sentiment towards ACOs in the market today can be grossly divided somewhere between the skeptic camp perhaps most gently represented by the oft quoted ‘unicorn’ attribution, credited to Mark Smith, MD, MBA, President and CEO of the California Healthcare Foundation: The accountable care organization is like a unicorn, …
Continue reading “ACOs: A promising report ‘from the front’ via IOM”
By Gregg A. Masters, MPH One of the more popular downsides associated with the growth and dispersion of ACOs in provider [primarily of the ‘institutional variety’ aka hospital/health system] consolidation and asset concentration, is the risk of anti-competitive pricing leverage. You know, the ‘my way or the highway’ approach of certain providers with near or actual …
By Gregg A. Masters, MPH In an article posted on KevinMD by the always learned and insightful George Lundberg, MD*, the question was posed: can ACO’s re-invent the American Health Care System? A rather compelling and timely question given the fragmentation and vertical silo’s characteristic of American health care finance and delivery, and the ‘patient-centric’ enhancements …
Continue reading “Accountable Care and Social Media: Can it connect the silo’s?”
By Gregg A. Masters, MPH As suggested yesterday while ‘the case has been submitted’ per Chief Justice Roberts upon conclusion of Day 3 oral arguments over the constitutional challenges to the Patient Protection and Affordable Care Act, the war to shape the national narrative is well underway. The blogosphere is ripe with buzz over the …
By Gregg A. Masters, MPH Ladies and Gentlemen, start your engines! A P/Y/R/R/H/I/C victory is defined by Wikipedia as: (/ˈpɪrɪk/) is a victory with such a devastating cost to the victor that it carries the implication that another such victory will ultimately cause defeat. An army of professional, neo-professional and outright ‘amateur’, including skin in …
Continue reading “SCOTUS Consideration A ‘Pyrrhic Victory’ Regardless of Ruling”
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