ACOs: Here, There, Everywhere? Or Are We Quibbling at the Edges?

By Vince Kuraitis, JD, MBA A  recent analysis of the ACO market by Oliver Wyman market suggests we’re well on our way toward being “there”. My personal take on this report: Provocative, fresh, thoughtful, well reasoned, expansive — albeit a bit of a stretch. However, I suspect many others will describe it as: Speculative, harebrained, unsupported, overly […]

Feel for the enforcers: Shades of Maytag Repair Man?

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. […]

A 6th Difference Between ACOs and “AC-Like” Arrangements

By Vince Kuraitis The post originally appeared on the e-caremanagement blog. Last week I wrote about five key differences between formal ACOs (mainly care providers contracting with Medicare)  and informal Accountable Care-Like (AC-Like) arrangements between care providers and commercial health plans. Transaction costs Timing Incrementalism Flexibility Capital cost There’s an important  6th  difference worth noting: Visibility Formal […]

Accountable Care and HiMSS 2012

By Gregg A. Masters, MPH On the Wednesday, February 15th 2012 broadcast at 11AM Pacific/2PM Eastern, my special guest on the HIMSS 2012 Countdown Series was Vince Kuraitis,  aka @VinceKuraitis, publisher of the ‘e-care Management blog.We spoke on the connection between ‘HIT Platforms and accountable care.’ We’re one week out from the HIMSS 2012 conference […]

Rebuttal and Comment to ‘NYT Op Ed: Emanuel Editorial is Irresponsible and Naive’

By Vince Kuraitis Zeke Emanuel’s editorial in the New York Times — The End of Health Insurance Companies — really got my blood boiling. It’s irresponsible and naive. Former Obama advisor Emanuel “predicts”: By 2020, the American health insurance industry will be extinct. Insurance companies will be replaced by accountable care organizations — groups of […]

Platforms, Accountable Care and Results

By Vince Kuraitis What do Amazon, Apple, Facebook and Google have in common? Eric Schmidt, Chairman (and former President) of Google, coined the term “Gang of Four” in referring to the similar platform/application technical architecture and business models of these companies. In the case of Apple iOS and Google Android OS, much of the value is created by […]

ACO or vACe aka virtual Accountable Care enterprise?

By Gregg A. Masters, MPH (inspired by Vince Kuraitis) e/n/t/e/r/p/r/i/s/e/ = A business (also known as enterprise or firm) is an organization engaged in the trade of goods, services, or both to consumers… The etymology of “business” relates to the state of being busy either as an individual or society as a whole, doing commercially viable and profitable […]

‘New’ CMS Bundled Payments for Care Improvement Initiative: 6 Preliminary Take-aways

By Vince Kuraitis This afternoon (August 23rd, 2011)  CMS announced the Bundled Payments for Care Improvement Initiative (BPCII). For details, start reading here. Here are six quick first impressions: 1. It’s very creative and innovative. CMS has demonstrated out-of-the-box thinking and leaves a lot of room for applicants to propose their own approaches. Expect to […]

Vince Kuraitis: ‘Is Hospital-Physician Integration Sustainable?’

On the Wednesday May 11th 2011 broadcast, at 11AM Pacific/2PM Eastern, consultant, blogger, noted speaker, and soon to be published author, Vince Kuraitis is my special commentator on the always ‘tender’ subject of physician/hospital alignment. Given the current scramble to position traditionally independent, siloed or discontinuous provider relationships into a coordinated tapestry of ‘accountable care’ […]