#occupyhealthcare: Hype or Hope?

By Gregg A. Masters, MPH Sunday, November 6th 2011 may mark a tipping point in the weak-tied and ‘talk is cheap‘ happy talk often characteristic of episodic and even planned healthcare social media conversations. While a dedicated and passionate community mostly focused on learning, defining, sharing best practices and what constitutes the ‘meaningful use’ of …

Dr. Don Berwick on ACO’s: From Volume to Value

By Donald Berwick, MD Editors Note: Thanks to a tweet today via @AxSys_Health CMS Administrator Don Berwick, M.D., explains ACO’s in plain language. Hi, I’m Don Berwick, CMS administrator. Today’s a kind of red letter day, October 20th 2011. That’s the day in which we launch the Accountable Care Organization final rule and I just …

Proposed v. Final ACO Rule

By Gregg A. Masters, MPH Deep in the 690+ pages of the document filed with the OFR, is a nifty little matrix that compares key provisions of the ‘notice of proposed rule making’ to the final rule which theoretically incorporated the best and brightest suggestions pro-offered in 1,300+ comments supplied to CMS. That pre/post matrix …

ACOs: It’s Not Just About Medicare [shared savings]

By Gregg A. Masters, MPH A recent report attached to a Tweet posted by Brian Ahier caught my attention in the blitzkreig of ACOs postings this past week.  @ahier Building #ACO‘s & OUtcome Based Contracting in the Commercial Market The complete title of the attached report is ‘Building ACOs and Outcome Based Contracting in the Commercial Market: …

ACO Final Rule: A Round Up of Early Opinion and ‘Go To’ Resources

By Gregg A. Masters, MPH Like some of you, I woke up the morning of Friday, October 21st, 2011 to a literal ‘blitzkrieg’ of tweets flooding two TweetDeck columns tagged ‘ACOchat’ and ‘ACO’. Everyone it seems has a dog in the hunt to make known their standing or interest in Accountable Care Organizations (ACOs), the …

HHS/CMS ‘Fact Sheets’ Per PR Issued Today on HealthCare.gov

EDITOR’S NOTE! Re: The press release ‘fact sheet’ for the ACO and Medicare Shared Savings Programs provisions as codified in today’s FINAL RULE, is published in it’s entirety below: People with Medicare will be able to benefit from a new program designed to encourage primary care doctors, specialists, hospitals, and other care providers to coordinate …

Physician Hospital Co-Management Arrangements

By Marshall R. Burack, Akerman Senterfitt In recent years, a number of regulatory and economic factors have driven hospitals and physicians to find ways to work together in a more coordinated manner in order to improve the quality and reduce the cost of patient care. Factors causing hospitals and physicians to work together include, among other …

ACO reimbursement, bundled payments, clinical quality measures and public profiles will be based on ICD-10 data

By Lynne Thomas Gordon Healthcare leaders are juggling multiple pressures, including the consistent delivery of high-quality patient care, evaluation and development of accountable care organizations, the careful management of sensitive patient data, achieving meaningful-use criteria, making the most efficient use of the newest technology and stretching revenue to maintain end-to-end coverage of their bottom lines. …

Massmed Releases 10th Annual Physician Workforce Study

Physician Shortages Found in 8 Specialties, Continued Primary Care Shortages, and Physician Concerns About Global Payments and Accountable Care Organizations: Waltham, Mass. — September 28, 2011 — The Massachusetts Medical Society today released its 2011 Physician Workforce Study showing critical and severe physician shortages in eight specialties, a sixth consecutive year of shortages of primary …

Bundled Payment? Not So Fast!

From Boston.com’s ‘White Coat Notes’: By Liz Kowalczyk A new survey from the Massachusetts Medical Society reveals interesting divisions among doctors over plans to hold down health care spending — and perhaps some words of warning for lawmakers. More than half — 58 percent — of the 1,100 doctors who responded to the society’s survey …