J.D. Kleinke Makes It Perfectly Clear!

By Gregg A. Masters, MPH Amidst the relentless noise, fear mongering, hand wringing and incessant misrepresentation of both the legislative history as well as decades of development of sensible health policy context for competing models of managed competition or healthcare market reform, J.D. Kleinke in a recent New York Times Opinion piece titled ‘The Conservative …

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 …

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 …

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 …

ACOs, Accountable Care and the Digital Health ‘App Market’

By Gregg A. Masters, MPH So much of the innovation metabolism witnessed today via social media and seeping into mainstream consideration, seems to be sucked up in the many, perhaps oversupplied and under utilized consumer facing ‘digital health apps’ market. We have yet to see these app driven forces of nature materially unleashed in the healthcare …

The ACO is a Child of the ACA

By Gregg A. Masters, MPH Only another battle has been won, (tho’ an effing big one at that), yet the war to re-engineer America’s healthcare borg remains intact and the Act is at risk to the outcome of November’s elections. In a perfect world 100% of our resources are committed to implementation of the vision, yet in …

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 …