Industry Insights

Guidance for Healthcare Providers and Purchasers

Leading healthcare data analytics insights:

Health Reform Constitutionality – The Journey Continues

Submitted by jonpearce on Thu, 2011-09-29 19:12

For those of us who are not lawyers but enjoyed watching them in action, the legal challenges to the Affordable Care Act have been more entertaining than the new TV season.  The stakes got kicked up a little higher this week when both the Obama administration and the original plaintiffs requested the Supreme Court to review the decision of the 11th Circuit court.  A Health Affairs blog has a detailed description of this case at http://healthaffairs

CMS released notice of new ACO database - but doesn't clarify much

Submitted by jonpearce on Sat, 2011-09-24 17:16

Recently CMS released an announcement of the creation of a database specifically designed to contain ACO-related information.  I had hoped that it would clarify the type of data that would be released to ACOs, and the timing and frequency of the release. But the immortal words of Pete Townsend prevailed, and I was fooled again. It looks like this will primarily be an internal CMS database containing patient, provider and administrative data, which will largely be used by CMS.

Comments on the PGP Demonstration from former CMS Administrator

Submitted by jonpearce on Sat, 2011-09-24 17:09

An interesting article in the New England Journal of Medicine by former CMS administrator Gail Wilensky describes some of the complications that participating providers encountered in the Physician Group Practice demonstration project.  These included lack of data provided in a timely manner, which impeded the ability of the participants to effectively manage their populations.  The article relates the results of this demonstration project to the structure proposed by CMS for accoun