Announcing ‘FredTalk’ with Fred Goldstein

by Gregg A. Masters

In addition to our programming at ‘PopHealth Week‘ (@PopHealthWeek), we’re launching a new series tagged ‘FredTalk‘ with our co-founder Fred Goldstein, Founder & President of AccountableHealth, LLC (@fsgoldstein).

In this session Fred outlines a high level framework for ‘Population Health Management’:

Population Health and Primary Care Leadership

by Fred Goldstein and Gregg Masters

In July we focused on Primary Care and Population Health and we had quite the line up.  From some extremely well known experts to hard working physicians in the trenches ‘walking the talk’ of innovation via transformative primary care leadership for over a decade.phw_hinman

We started with Roy Hinman, MD of Island Doctors in St. Augustine Florida.  Island Doctors has been serving global risk Humana Medicare Advantage since 1998 and now manages approximately 18,000 patients! Roy focused on keeping it simple, building out a network of like minded partners, leveraging mid level practitioners at the ‘top of their license’ in the care team, aligning financial incentives, grasping and developing core competencies in clinical risk management and a hospital agnostic approach to prudent utilization of institutional healthcare resources.

We then moved to direct practice pioneer with the CEO and Founder of iorahealth (@iorahealth), Rushika Fernandopulle, MD (@rushika1).  Rushika decided to ‘rebuild primary care from the ground up’ and created a care team model in some respects similar to Roy’s that ‘dis-engages’ from  a volume based, fee-for-service compensation plan. Iorahealth has been experiencing strong growth in the traditional mrushika poseembership or retainer model direct practice milieu where there is no intermediary between the patient and the medical practice. Yet, continuing to innovate in non-traditional direct practice terms iora health as also engaged in the direct employer space via global contracts with Humana. Rushika believes that establishing a dis-intermediated and  thus ‘direct relationship’ with the patient via a coordinated care team is their ‘secret sauce’ and key market differentiator.

Week three’s guest was Jay Lee, MD (@FamilyDocWonk)of MemorialCare Medical Group (@MemoricalCareMG), a historically proactive physician organization based Jay Lee MD @FamilyDocWonk | HiMSS SoCal with Douglas Goldstein @eFuturistin Long Beach, California with a service area reaching into south Orange County established to provide advanced comprehensive, effective and efficient healthcare.  Jay’s primary role is as the Associate Medical Director of Practice Transformation at MemorialCare Medical Group and Director of Health Policy at the Long Beach Memorial Family Medicine Residency Program. He also serves as the President of the California Academy of Family Physicians (@cafp_familydocs). Jay brought some unique insights into physician acceptance of population paul_grundy headshothealth and training of residents, stating that changing the culture and aligning  both docs and payment incentives were mission critical to success in the transition from one-off episodic care to a population level world view.

The fourth week featured the “Grandfather” of the Patient Centered Medical Home, Paul Grundy, MD, MPH (@Paul_PCPCC & @IBMhealthcare), Global Director of Healthcare Transformation IBM, President PCPCC, Ambassador for Healthcare Denmark.  Paul discussed the history of the PCMH and stated that the original concept was based not on being the ‘primary care home’ for the patient per se, but the home for the data about the patient which would allow for better management of the patients condition.  In fact the original PCMH was the transplant surgeons who needed to be sure that they had all the data and could coordinate all of the patient’s healthcare needs.

So what did we learn?

Fee-for-service payments and its inescapable production oriented ‘do more, to earn more’ incentive basis is a hindrance to implementing population health, and perhaps contrary to emerging ‘conventional wisdom’ that tipping point may not be so close (the best intentions of Secretary Burwell et al at CMS).

Many experts say we are near a tipping point in the approach to medicine and population health, that as soon as we implement just a bit more value based payment methods, we will reach it.  Unfortunately and given the weight of historical inertia, they may be wrong (again?).

In our discussions, there was real and evidence based concern that to do population health requires getting completely away from FFS payments.  Rushika takes none, and Roy claimed to only have a handful of patients on this burning platform. They both stated that FFS payments were a problem and hindered behavior change, as well as not allowing for the justification of many population health approaches. Interestingly at MemorialCare Medical Group , Jay stated they still measure physician productivity using RVU’s; so any work that does not have a billing code (think pop health related activities) has ‘no measure or worth’ (my words).  The point that stuck out most for me is that if MemorialCare Medical Group has 60 to 70% capitated business, yet they still measure using FFS related codes, making it hard to justify population health services, when do we reach the tipping point?

Paul on the other hand felt that we would incrementally reach the inevitable pivot and felt that the recent CMS announcements regarding the more rapid shift to value based payments would be the impetus. Although he felt there were examples of successful capitated contracts he did bring up the fact that this type of payment can lead to an underutilization of appropriate services, while clearly FFS can lead to an over-utilization.

Bringing Joy into Practice

Both Rushika and Jay independently discussed the need to bring “joy” back into the physician experience, a common theme first posited by senior leadership at ACO management company Lumeris as ‘the triple aim, plus 1’ , where the plus 1 is ‘physician satisfaction’. They talked of the drudgery of having to practice in the current system driven by fee-for-service payments, and the well know productivity formula of 30+ patients a day with an average per patient visit in the 7- 8 minute range. Both felt that practices that introduced a patient centered model, focused on relationships and had global payments allowed doctors to practice in a manner that aligned better with why they had called them to medicine in the first place.

Keeping it Simple

Rushika and Roy discussed how they have very simple systems to manage patients, in fact Rushika felt that EMR’s which had been built upon the FFS model and the need to create a bill, were a hindrance and he did not use one. iora health had instead developed their system from scratch.  Roy too discussed how his practice focused on the ‘low hanging fruit’ and that by having no copays for office visits, seeing all walk-ins that day, managing cholesterol, weight and other simple things, they were able to drastically reduce hospitalizations and ER visits.  As Roy said and I’m paraphrasing, you don’t need 15 consultants and a big IT system to do this.

Paul stated that IBM had also gone to a no co-pay model for primary care visits for their employees and wanted to be sure their employees had a relationship with their PCP.

Utilizing your staff based upon their expertise

All of the guests had created systems or discussed having specific roles for each team member in particular to maximize the physician by having them focus on

The Role of Technology

While not all of the guests discussed technology, it was clear from Paul and his work both with providers and one of the strongest IT companies in the world that technology and in particular advanced data analytics combined with mobile will lead to a sea change in health and health care. Moving us to the realm of personalized medicine, providing specific services to a specific person to maintain and or improve their health.

What a fantastic month of guests!

Next month, we’re dedicating our series on ACOs, and diving into one of each entity type: 1) physician led, 2) hospital sponsored and 3) health plan enabled to contrast and compare structural characteristics and the relative market success (or failures) reported to date.

Join us!

Paul Grundy, MD the “Godfather”of the Patient Centered Medical Home

by Fred Goldstein and Gregg Masters

This week on PopHealth Week, in our continuing focus on primary care and population health we are pleased to welcome Paul Grundy, MD, (@Paul_PCPCC) Global Director of Healthcare Transformation IBM, (@IBMHealthcarePresident PCPCC and Ambassador Healthcare Denmark. Paul is known as the “Godfather” of the Patient Centered Medical Home (PCMH). IBMhealthcare

Paul’s work at IBM is directed towards shifting healthcare delivery around the world towards data driven, accountable, consumer-focused, primary-care based systems through the adoption of new philosophies, primary-care pilot programs, new incentives systems, and the information technology required to implement such change.

The Patient Centered Primary Care Collaborative (@PCPCC) is a not-for-profit membership organization dedicated to advancing an effective and efficient health system built on a strong foundation of primary care and the patient-centered medical home

Considering the challenge laid before all healthcare stakeholders, and especially healthcare leadership, to re-tool and transform an ecosystem remarkably resistant to the change – if not, the revolution – imperative, join us for a ‘tour de force’ review of the current state of healthcare transformation, the center core nature of primary care leadership and the many strands that attach to if not energize the re-emerging focus on population health.

 

 

 

PopHealth Week Month End Wrap-Up: Wednesday June 24th

by Fred Goldstein, Gregg Masters and Douglas Goldstein

In our second month end ‘news/e/um‘ style PopHealth Week Review Wednesday June 24 at 9 AM PT/12 PM ET we’ll feature hot topics in the news. Our regular panel of Fred Goldstein @fsgoldstein, Gregg Masters @2healthguru and Doug Goldstein @efuturist will identify newsworthy stories and offer commentary along the way.
The initial slate of stories in the news includes:

  • Healthways revised guidance
  • Fitbit’s IPO and Garmin’s lawsuit
  • Ochsner Health System
    • What they are been getting news about Apple Watch – Chronic Care Management
    • News B4 the Release – what they are working on the New Mission Control”
  • The physician led ACO management company Aledade’s VC raise
  • Insights from the Personalized Medicine Coalition Study
  • Anthem’s sparring bids for CIGNA (and Aetna’s pursuit of Humana) Could the ‘Big Five’ be reduced to the ‘Big Three’?

Here’s some background:

Healthways: A Perennial Disappointment?

PHW_healthwaysThis company just reported revised downward guidance and their stock was hammered.  Last month, on May 18th their longtime CEO Ben Leedle stepped down and last year a group of dissident sharedholders filed to take over the Board, though they ultimately came to an agreement with a few of them joining the Healthways Board.  As one of the largest population health companies, with unique programs like Silver Sneakers, the Gallup-Healthways Well-Being Index, and relationships with Blue Zones and Dean Ornish, how can they miss?  Well the irreverent 3 have some thoughts you don’t want to miss this.

We’re sourcing our discussion from recent news: ‘Healthways Revises Financial Guidance for 2015‘ and Healthways (HWAY) Stock Sinks on Lower Full Year Revenue Guidance.

Fitbit: The Wallstreet Darling of the Wearables Industry?

Fitbit went public, Woohoo! Lets take a walk as we discuss:phw_fitbit

  • the opportunities for wearables
  • Fitbit’s first day pop (can you say JUMP) you know, we can get them to exercise, but hey its only the first month, is it sustainable?; and
  • the recently announced Garmin lawsuit (what? So they hired employees from a competitor….. but maybe… they took more than their minds with them)

The company narrative is here, and recent discussions found via CNBC ‘Fitbit soars 20% on second trading day‘.

The good here, and some questions, here and here. And then there’s the ‘always-in America’ litigation angle via ‘Fitbit Sued by Jawbone for ‘Plundering’ Employees, Secrets‘ with all the gory details of the complaint here.

Ochsner Health System: The New Normal?

Doug Goldstein recently visited Ochsner Health and has some interesting insights to bring us. Perhaps more interesting is this announcement:phw_ochsner

Ochsner Health System First in Nation to Manage Chronic Disease with AppleWatch….’

We all know how much buzz the product (better yet, platform) has produced in the digital health and exploding apps market, we’ll lean into the real world implications for its deployment to population health via Ochsner’s first mover vision inside their EHR (uh, can you say EPIC?).

Select Highlights:

…it’s not about the wearable – it’s about the “new mission control” being built into the EPIC workflow that will change how doctors support patients in life, fitness, health and healthcare.’ Douglas Goldstein

Aledade: The Physician Led ACO Management Company “ACOcor” Revisited?

phw_aledadeAledade just completed a $30 million series B raise, see; ‘Bethesda health tech company raises $30 million‘. What implications if any can we draw from this continuing investor confidence in the approach and ‘secret sauce’ enabling the transformation of the U.S. healthcare ecosystem from volume to value? What does this say about the ACO market writ large and the continued embedding of the ACA’s moving parts as the new normal for American healthcare? For discussion of this milestone event, see: Leading the Transformation: Aledade’s Growth authored by Aledade CEO Farzad Mostahari, MD.

Themes: ACOs continue their market penetration, and the need for physician led ACOs can only be expected to continue to grow as well. Someone need fill that void. Aledade intends to be a front runner.

ACA repeal types are increasingly irrelevant and the King V Burwell trial decision –  which could hit this week – is likely to only affirm the continued availability of Federal subsidies within the broad intent of the law and ‘language issues’ notwithstanding.

Physician led ACOs are another shot at the bow of traditional hospital system led innovations including any ACOs the sponsor.

Personalized Medicine Coalition Study 

phw_personalizedmedMost of us have heard about the 17 year time-line for innovation to transfer from ‘bench to bedside’ into mainstream medicine. Clearly in days past, we could tolerate such a delayed ‘on-ramp’. Yet in the Internet age, with Moore’s Law, the explosion medical information and informatics/big data analytics, plus opportunities for crowd sourcing and the connected global village are within the means of anyone carrying a smart-phone, laptop or traditional PC access, such a delay is, well so 1900’s…

Yet, there’s more in the way of ‘innovation uptake’, you know that ‘calcified hairball’ so aptly tagged by the powerhouse Esther Dyson (@edyson). A recent study by the Personalized Medicine Coalition outlines some of these concerns, particularly as it relates to ‘alternate payment models’ (APMs):

“..as APMs continue to develop and these, and other alternate models are proposed, it will be important to consider what effect changing incentives and payment systems will have on the decision by interested stakeholders to invest in personalized medicine. The Report concludes that “if new incentives begin to hamper access to personalized medicines in a meaningful way, the ability to invest in research and development of highly personalized therapies and diagnostics will likely shift to align with the inflexible payment systems.”

“Understanding the dynamics and challenges facing the industry as payors move toward APMs is the first step to ensuring that these therapies can continue to be developed and made available to patients. This Report is an important first step to raising the awareness of these issues as payment models continue to evolve.”

Practical Impact or ‘Reading the Tea Leaves’

As the challenge of integrating the promise of precision medicine (utility of biomarkers and better understanding of disease pathology and associated risk management opportunities) informing and guiding to day to day lifestyle (including health) choices, another potential uptake inhibitor are the hoops payors or risk bearing organizations may require before deeming the application of such technology to better patient outcomes. So in a way, it’s not just about tech innovation adding value to medicine and healthcare, but also the bureaucracies we create to protect the public while stimulating innovation.

PM remains an on the come potential to current medical practice. The theory is compelling, but the 17 year bench to bedside standard is not likely to step aside any time soon. Perhaps incentives [and compelling outcomes studies] can accelerate an otherwise glacial pace of [tech transfer] adoption.

Anthem’s Determined Dance to Acquire CIGNA

Are we revisiting the Big 6, then Big 4, and ultimately fill in the ____ of the too big to fail accounting firms [RIP Arthur Anderson] but now squarely laid at the feet of America’s Health Insurance Industry market leaders….?phw_anthem

This is a story on a number of levels! See: Anthem continues $47B Cigna takeover battle and Anthem offers $47 billion to buy Cigna.

Themes: Is health plan consolidation the antidote to counter the recent and persistent wave of hospital, health system and medical group mergers? One CEO’s post merger standing in way of merger. Will investors stand by and watch a premium bid sit idle?

Bottomline? Might market consolidation for price leverage (and oh yeah, scale and operating efficiencies) enable the construction of a virtual single payor (or Ellwood vision of “SuperMeds”) via acquisitions or arrangements? Is this scale required by ACA as some opine? Or just more opportunity to generate fees and exit packages for senior executives? When has scale reduced costs?

So pull up a chair, get out on a walk, put on your headset, and tune in to PopHealth Week!

 

Meet Steven Blumberg AtlantiCare Health Solutions

by Fred Goldstein

This week on PopHealth Week oPopHealthWeek-logo-TWTTR-squr special guest is Steven Blumberg, Senior Vice President and Executive Director of AtlantiCare Health Solutions, AtlantiCare’s accountable care organization. A member of AtlantiCare’s executive leadership team, he has responsibility for development of population health models, programing and delivery. Blumberg works with payors and employers to bring value-based purchasing of health services to the marketplace. Blumberg’s more than 25 years of health care leadership experience includes strategic planning, business development, joint ventures, group practice leadership, risk model development and operational integration. He has worked with both large group practices as well as major health systems.

AtlantiCare, located in New Jersey is the region’s largest healthcare organization and largest non-casino employer with more than 5,170 employees and 600 physicians in nearly 70 locations.atlanticare

AtlantiCare Health Solutions is an accountable care organization (ACO). Services offerd through their ACO includes Primary Care Plus, data analytics and information sharing through an EMR, integrated care managers, a hospitalist program and an employee engagement, prevention and wellness program.  The program also offers a patient portal, mobile app and Well4Life, whose mission is to build healthy communities.  So join PopHealth Week as we discuss ACO’s, population health and some of the innovative services offered by AtlantiCare Health Solutions.

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Frederic S. Goldstein is President and Founder Accountable Health, LLC, Past Board Chair, Board of Directors, Population Health Alliance, and co-founder of PopHealth Week.

Meet Kaveh Safavi MD Accenture

Join PopHealth Week Wednesday June 10 at 12 PM Eastern/9AM Pacific with our special guest:

kaveh_safavi-21

Kaveh Safavi, MD, JD managing director for global healthcare business at Accenture. Dr. Safavi is responsible for developing and driving a growth strategy that differentiates Accenture’s offerings for providers, health insurers and public and private health systems across the globe. PopHealthWeek-logo-TWTTR-sq

Accenture Health Management Services offer solutions to help patients, providers and risk-bearers coordinate and manage population health and wellness across care settings in a way that ensures optimal health outcomes, efficient healthcare spend and drives affordability.

We’ll be discussing some of Kaveh’s thoughts on population health and where he believes providers should be focusing their efforts.

Sun Health, CMS, Population Health and Jennifer Drago

by Fred Goldstein

PopHealth Week will be featuring Jennifer Drago EVP of Population Health at Sun Health. This week’s show will focus on some of the innovative programs that Sun Health offers in the seniors market including their Care Transitions Program  which has a CMS Community-based Care Transitions Program (CCTP) contract. CMS just  Community-based Care Transitions Programrenewed the Sun Health CCTP contract and increased the number of patients to be managed.

The CCTP  “tests models for improving care transitions from the hospital to other settings and reducing readmissions for high-risk Medicare beneficiaries.”  There are currently 72 sites participating in the CCTP pilot.

Per CMS:

  • Approximately 2.6 million seniors, or 1 in 5 are readmitted within 30 days
  • The cost of these readmissions is over $26 billion per year
  • The goal is to reduce readmission 20% per year
  • The program is to run for 5 years
  • The budget was estimated at $300 million over 5 years

To date 29 of the total 101 CCTP-funded sites have withdrawn or been ended.

The CMS First Annual Report stated that of the 48 programs started in 2012 only four programs made statistically significant gains in reducing the ratio of readmissions to discharges from the participating hospitals.

PopHealthWeek-logo-TWTTR-sqBut there is more to this story.

As with other CMS programs there are some concerns regarding the study methodology. The argument against the current methodology, which measures re-admissions within 30 days as a percent of discharges may penalize hospitals, or communities that have worked to reduce hospital discharges in total. Because of the reduction in discharges, these initiatives may not show a reduction in 30 day readmits as a percent of discharges but would better reflect this changes by looking at a population based measure of re-admissions.

Some reference posts on the program are noted below:

  • http://www.medicaringcommunities.org/medicaring-blog-cms-cctp-metrics-have-seious-flaws/
  • http://medicaring.org/2014/12/16/protecting-hospitals/
  • http://www.n4a.org/blog_home.asp?display=16

Join us as we discuss Sun Health and their innovative approach to Senior Health, Care Transitions and the CCTP program.

PopHealth Week: The Monthly Wrap with Fred, Doug and Gregg

By Fred Goldstein

Join Gregg Masters @2healthguru, Doug Goldstein @eFuturist, and me @fsgoldstein as we discuss recent news and issues in population health. This week’s show will focus on Evolent Health and their recently announced IPO as well as the Quantified self and health care data, who’s using it, and what are some of the issues the industry and we face.

Here’s some background on the two topics:

Topic 1 – Evolent Health Announces Their IPO

Evolent Heath announced their IPO this past month. Here is some information on Evolent from their website (www.evolenthealth.com)

A PARTNERSHIP DRIVEN BY A GREATER PURPOSE

Evolent Health helps progressive health care systems lead, build and own the path to value-based care. No matter your current state of transition, we partner with you to drive real, lasting transformation from the inside out.

OUR COMPANY

Founded in 2011 by UPMC Health Plan and The Advisory Board Company, we are a high-growth firm headquartered in Arlington, Virginia. Across multiple Evolent and partner system sites, our 750-member team of experts works shoulder-to-shoulder with provider leadership to shape the future of health care. Evolent is proud to partner with leading providers and physician organizations in over 25 markets across the country.

OUR OFFERING

Evolent provides the integrated technology, tools and team to advance value-based care. Our work begins with the Blueprint, an immediately actionable strategic roadmap that defines target markets, assesses needed clinical and operational capabilities, and is supported by a detailed business case. We implement the Blueprint through our Market Facing Solutions, which accelerate the path to value and embed and connect crucial capabilities through a Value-Based Services Organization:

  • Tailored clinical programs, patient engagement tools, quality and risk coding, and specialized care teams to deliver Population Health Performance
  • High performance network optimization and management, backed by proven physician compensation models and integrated specialty partnerships foundational to Delivery Network Alignment
  • Leadership, scalable back-office infrastructure, and analytics and reporting teams required for Financial And Administrative Management
  • Organizational governance and design, physician-led practice transformation, and change management to drive “inside-out” System Transformation
  • Data integration, clinical and business content, EMR optimization, and value-business applications through our purpose-build technology solution—IdentifiSM

From Evolent’s S-1:

Financials

2013               2014

Revenue         $40.3M           $100.9M

Loss                 $32.8M           $52.3M

Assumptions

They believe the current market opportunity is $10B and will be $46 by 2020, that health expenditures will increase from $2.1T to $3.2T by 2020, value based care will increase from 10% to 50%, the provider sponsored health plan market will grow to 15% of the total health plan market and they estimate $1T in waste in the system.

A good blog on the topic was posted by Stephanie Baum of MediCity News: ‘6 Takeaways from Evolent Health $100 Million IPO Registration

Also an interesting piece from Rock Health on who might be next for an IPO.

Topic 2 – Quantified Self, Data, Privacy and Meaningful Use

The second issue we’ll discuss is the quantified self, and the incredible growth in personal data that is being gathered and used from wearable devices and other sources.

The Washington Post had a recent article entitled ‘The Revolution will be Digitized‘ by Arianna Eunjung Cha, posted May 9, 2015.

And from the Kojo Annamdi Show on NPRThe Digital Fingerprints We Leave Behind Online’ with some interesting information and statistics.

There have been numerous data breaches including this one: ‘CareFirst Data Breach.’

And the recent hacking of an adult dating site and sharing of intimate details online.

Issues like who owns the data, whose using it, its value, the ‘No MU without Me‘ campaign and others will be addressed. So join us at 12 pm Eastern at www.pophealthweek.com and follow us on twitter @pophealthweek.

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Frederic S. Goldstein is President and Founder Accountable Health, LLC, Past Board Chair, Board of Directors, Population Health Alliance, and co-founder of PopHealth Week.

 

From This Week in Accountable Care to PopHealth Week

By Gregg A. Masters, MPH

Accountable Health, LLC in association with Health Innovation Media the producer of three Internet radio shows focused on innovation in health[care] delivery, finance and business model re-design including This Week in Health Innovation, This Week in Oncology and ‘This Week in Accountable Care are collaborating to re-brand and re-launch This Week in Accountable Care as ‘PopHealth Week’.

Accountable Health LLC

The PopHealth Week Internet radio show will focus on the emerging Population Health issues, trends and key developments. Fred Goldstein (@fsgoldstein), CEO Accountable Health, LLC and Gregg Masters, MPH (@2healthguru), Founder and CEO Health Innovation Media serve as principal co-hosts of each the show and tap thought leaders, entrepreneurs and academicians pioneering the continued development (both practice and theory) of this emerging space and any derivative plays they in turn stimulate. We’ll be joined periodically (on our month end wrap-up shows ofHealth Innovation Media what’s hot in the news) by our co-host Douglas Goldstein aka @eFuturist.

Our first show ‘Population Health or Population Medicine: What Gives?‘ is scheduled May 20th 2015 at 12 Noon Eastern/9AM Pacific Time with the Founding and current Dean of the Jefferson School of Population Health David Nash, MD, MBA. All future shows are scheduled and will be available via www.pophealthweek.com.

The radio show is accessible both live and on demand. The latest episode ‘Population Health or Population Medicine: What Gives’? is available here:

For more information or to schedule participation on air contact gregg@pophealthweek.com or fgoldstein@pophealthweek.com; and do follow us on Twitter via @PopHealthWeek for real time program announcements and newsworthy tweets.

Some thoughts about this venture:

“Population health while a buzzword meaning different things to different people,, is in fact a defined approach that can have a profound positive impact on health care quality and costs.  I am excited to be working with Gregg to provide listeners with knowledge, actionable advice, news and trends to move this field forward.”

Fred Goldstein @fsgoldstein

“Merging our curated content focus on accountable care and the ACO industry with the broader environment of population health and medicine markets only makes sense as we continue to move from a volume driven to value and outcomes oriented culture of healthcare delivery and finance. I am thrilled to work with Fred Goldstein at Accountable Health, LLC to launch this timely joint venture.”  

Gregg Masters @2healthguru

Join us for an entertaining and informative series about the emergence of the population health, its associated derivatives, including documented best practices as we collectively pursue a sustainable healthcare economy.