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
social determinants of health

Social Determinants of Health, Part 4: All the Lonely People

by Dr. Randall Williams, MD The Beatles were onto something with their song “Eleanor Rigby”. The loneliness of Eleanor Rigby and Father McKenzie strike a chord with us because we humans are social creatures—it’s woven into our DNA. From our hunter-gatherer ancestors who moved in clans to the complex, fast-moving communities we live in today, we are all dependent on …

Dr. Randall Williams, MDSocial Determinants of Health, Part 4: All the Lonely People

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?

Gap analysis: Care coordination and the patient centered medical home (PCMH)

by Dr. Randall Williams, MD Last week, the Journal of the American Medical Informatics Association published an interesting article on the challenges facing primary care medical home (PCMH) models as related to care coordination technology. Researchers attempted to answer the question: “How can health information technology (HIT) better serve the care coordination needs of the PCMH model?” After conducting a …

Dr. Randall Williams, MDGap analysis: Care coordination and the patient centered medical home (PCMH)

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).

In the doctor shortage drama, patient engagement plays a crucial role.

by Sara Aldworth This week, the Association of American Medical Colleges released their final report projecting a doctor shortage between 2013 and 2025. Among the key findings: The U.S. population is expected to grow by 10% over the next decade The population aged 65+ is expected to grow 46% Demand will outstrip supply, creating a shortage between 46,000 – 90,000 …

Sara AldworthIn the doctor shortage drama, patient engagement plays a crucial role.