CMS ACOs Must Change

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The Medicare Shared Savings Program (MSSP) is not achieving its intended results. As the first of several Accountable Care Organization (ACO) models implemented by CMS, the MSSP has the most participants and the most data for analysis. In fact, there are currently 561 MSSP ACOs delivering care to 10.5 million lives.  … Read More

In fact, our government does “negotiate” drug prices

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The cost of pharmaceuticals is often in the news. Sometimes the story revolves around price-gouging (think Tura Pharmaceuticals). Other times the story revolves around life-saving therapies that come at high costs (think Sovaldi and Harvoni). Sometimes the national conversation leads many people to ask “why doesn’t our government negotiate the price it … Read More

Buying Healthcare: Putting You In Charge

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Employer-supplied health insurance (ESI) is going away. The process of acquiring health insurance is rapidly changing in ways that will put you in charge of the purchasing decision. This represents a fundamental shift in the market, as individuals will be empowered to become the consumer of health plans, not just the … Read More

CMS ACOs Cannot Fail

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Quite a bit of news around Physician Payment Reform has been released these last two weeks – rather silently from CMS. The ACA is built on three main premises; Coverage Expansion – Insurance Reform –Physician Incentive & Payment Change. And you know about how each of these pillars depends on … Read More

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