Founder, Aledade.
Former National Coordinator for Health IT
NYC Health Dept
CDC EIS Officer
Aug 30, 2018 • 26 tweets • 10 min read
1/ 2017 #MSSP#ACO Results!
ACOs have scaled rapidly across the country!
In aggregate, the 472 ACOs were accountable for nearly 9 million Medicare beneficiaries and $95 Billion- that's a quarter of all fee for service, and almost half of the entire Medicare Advantage market.
2/ If you add up all the actual costs versus benchmarks, these 472 ACOs were collectively $1.1B under their benchmarks (more on whether that's the right counterfactual later).
Medicare shared $780 million in payments with the ACOs, netting the taxpayer $313M
Jul 26, 2018 • 13 tweets • 5 min read
It's strange that everyone on health policy twitter is not going apes over the Hospital Outpatient Prospective Payment System (#OPPS) rule released today
It contains one hugely significant proposal that hospitals will fight bitterly...but could actually help them in the long run
Background- there are two different CMS payment systems for historic/operational reasons, one for professional services, and the other for hospital outpatient depts.
Up until now, there had never been an effort to make sure that equivalent services would have same payment rate.
Apr 25, 2018 • 11 tweets • 9 min read
1/ A little bit of history here…
When I was national coordinator for health IT, we did an RFI with CMS for “Advancing Interoperability and Health Information Exchange"
2/ If you’re a student of this stuff, it’s pretty topical- including a section on patient-centered information exchange on promoting #BlueButton - including through Medicare Advantage, … which is now on the verge of becoming a reality
Mar 6, 2018 • 20 tweets • 10 min read
1/ There was a very important speech today by @SecAzar today at the @FedAmerHospital that I'm going to annotate for you.
Anyone who’s been waiting for a clear declaration of this Administrations beliefs and intentions re #ValueBasedCare - here it is
