e-CareManagement blog

Chronic Disease Management • Technology • Strategy • Issues and Trends

ACOs: We’re NOT There Yet

by Brian Klepper On The Health Care Blog, veteran analyst Vince Kuraitis reviews a report from the consulting firm Oliver Wyman (OW), arguing that the trend toward reconfiguring health systems to deliver more accountable care is more widespread than any of us suspect. “The healthcare world has only gotten serious about accountable care organizations in […]

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ACOs: Are We “There” Yet?

  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 extrapolative, out-to-lunch, wishful to […]

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Are Hospital Business Models on a Burning Platform? Not Yet, But It’s Inevitable.

From reading recent headlines, one might easily get the impression that hospitals are resistant — or at least ambivalent — in their pursuit and adoption of accountable care initiatives. Are Hospitals Dragging their Feet on Accountable Care? Commonwealth Fund: “only 13 percent of hospital respondents reported participating in an ACO or planning to participate within […]

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Physicians Shouldn’t Wait for Big Data: “Small Data” Can Jumpstart Your Care Management Program

by David C. Kibbe MD, MBA and Vince Kuraitis JD, MBA Everywhere we turn these days it seems “Big Data” is being touted as a solution for physicians and physician groups who want to participate in Accountable Care Organizations, (ACOs) and/or accountable care-like contracts with payers. We disagree, and think the accumulated experience about what […]

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The ACO Antitrust Police — Nothing to Do

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. Why?   Tags: ACO, antitrust

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Medicare Announces 27 ACOs. A New Species?

I’m surprised and intrigued by Medicare’s announcement of 27 new Shared Savings model ACOs. Surprised I had been anticipating this announcement as a defining moment for Medicare’s thrust into accountable care. My expectations had been that we would see either: Boom — a big splash of new Medicare shared savings ACOs announced, including big name […]

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Will Health Plans Want to Contract with ACOs? Maybe, Maybe Not.

On the Perficient Health IT blog, Christel Kellogg writes: I am hearing that carriers are staying away from ACOs and are not planning on partnering.  What have you heard? This is one of those blip-on-the-radar-screen comments that jarred my attention — and it raises very important questions about industry dynamics. First, let me expand on the issue.  […]

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

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 ACOs will be visible from miles away — think elephants […]

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Platform Failure and Success: Lessons from Outside Healthcare

Healthcare is just starting down the road of adopting platform technology and business models. What lessons can we learn from other industries? A recent article by Andreas Constantinou in Vision Mobile blog provides guidance. The article lists a Dead Platform Graveyard from the past 10 years — you will probably recognize some of the names: Meego […]

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