MSSP 2014 Results Analysis: Learning from the Winners, Losers & Savers

by Dr. Randall Williams, MD CMS reported the results of the 2014 performance year for its MSSP program during the summer recess, with little fanfare or media critique. By publishing an organization-by-organization dataset, CMS has given us the opportunity to crowdsource the analysis. The basic facts CMS released the 2014 financial and quality data for 333 MSSP ACOs. These organizations were …

Dr. Randall Williams, MDMSSP 2014 Results Analysis: Learning from the Winners, Losers & Savers
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Social Determinants of Health, Part 1: What they are and why they matter.

by Dr. Randall Williams, MD Apple has become one of the world’s most iconic brands because of its philosophy, captured brilliantly in their “Think different.” advertising campaign (see the image above). Today’s healthcare leaders are challenged and incentivized to also “think different” under value-based care. One area of thinking differently involves considering how the broader social determinants of health impact patients …

Dr. Randall Williams, MDSocial Determinants of Health, Part 1: What they are and why they matter.

Why aren’t the Pioneer ACOs reducing readmissions?

by Dr. Randall Williams, MD Last week, CMS reported the Pioneer ACO results for Performance Years One and Two. The impressive findings reinforced my belief that we need to continue on this path to value-based care. But something’s been bothering me. Hopefully, you noticed it and it’s bothering you too. Despite the fact that ACOs significantly improved the timeliness of …

Dr. Randall Williams, MDWhy aren’t the Pioneer ACOs reducing readmissions?
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CMS’ Year 1 and 2 results are in: did Pioneer ACOs take the arrows?

by Dr. Randall Williams, MD This week, CMS published their program analysis of the first two years of the Pioneer ACO model. They reported $385 Million in total savings across the 32 Pioneer ACOs over the two year period. Reading the results, an old saying popped into my mind: “Pioneers take the arrows, settlers take the land.” It got me …

Dr. Randall Williams, MDCMS’ Year 1 and 2 results are in: did Pioneer ACOs take the arrows?

8 important questions (and answers) that will help your ACO win with value-based contracts.

by Dr. Randall Williams, MD Winning with value-based contracts and care models requires everyone in healthcare to “think differently”. Unfortunately, we humans are no more immune to running in herds than any other group of mammals. Despite our best intentions, we slide easily into old patterns of thinking and acquiesce to the common viewpoints held by our peers. Even the …

Dr. Randall Williams, MD8 important questions (and answers) that will help your ACO win with value-based contracts.

The Next Generation ACOs: boldy going to value based purchasing (with a few tweaks based on others who have gone before).

by Dr. Randall Williams, MD This week, the CMS Innovation Center unveiled its plan for the Next Generation ACO payment model. With apologies to Gene Roddenberry, the new crew of this Enterprise will be pushing the boundaries of healthcare cost, quality and delivery, just like the Pioneer and MSSP ACOs. But the Next Generation ACOs will have to work under …

Dr. Randall Williams, MDThe Next Generation ACOs: boldy going to value based purchasing (with a few tweaks based on others who have gone before).

Succeeding with value-based care: lessons from the CMS Physician Group Practice Demonstration

by Dr. Randall Williams, MD In 2005, we at Pharos Innovations were presented with a unique opportunity: Park Nicollet Health System (now part of HealthPartners) asked for our help. As one of the 10 CMS Physician Group Practice Demonstration organizations, they had a goal to achieve shared savings through improving the coordination of care for their assigned beneficiaries living with …

Dr. Randall Williams, MDSucceeding with value-based care: lessons from the CMS Physician Group Practice Demonstration
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Value based care: what we can learn from those who succeeded (and failed) in Year 1 of the Medicare Shared Savings Program.

by Dr. Randall Williams, MD “The definition of insanity is doing the same thing over and over again and expecting different results.” — Albert Einstein If you want to lead your organization to success with value based care, I’d like to help you avoid the mistake of committing organizational insanity. As I’ve written before, all value based contracting will require …

Dr. Randall Williams, MDValue based care: what we can learn from those who succeeded (and failed) in Year 1 of the Medicare Shared Savings Program.
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Want to win with value based purchasing? Start with the fundamental challenge.

by Dr. Randall Williams, MD So you want to thrive (or even just survive) under value based contracting? Here’s a little advice: get your organization focused on cost. Definition of value Ask any economist what value means and they’ll tell you this: Value = Quality ÷ Cost In the era of value based purchasing in healthcare, we’d do well to …

Dr. Randall Williams, MDWant to win with value based purchasing? Start with the fundamental challenge.