Meet Gerry Meklaus Managing Director, Accenture

by Gregg A. Masters, MPH

Before there was ‘accountable care’, the current full court press towards innovation – whether digital health app, platform or service delivery model, an emerging culture of transformation or the attendant pursuit of the triple aim, not to mention the most recent obsession with ‘retail as cure’ for that which ails healthcare, the best and the brightest minds (both clinical and administrative guided by thoughtful health policy wonks) convened in the grand theater of ‘managed care’ or managed competition.

The model and industry writ large (both public and private sectors), variably expressed as HMO, PPOs and derivative strains of contracting models stimulating the development of IPAs, PHOs, PPMC’s, MSOs and DPOs (direct purchasing organizations) had a run from the mid 70s until its abandonment as the official vehicle to restrain the rising cost and variable quality of healthcare in the late 90s. What followed was somewhat of a meandering decade of incremental tweaks here and there to an otherwise burning platform of fee-for-service healthcare delivery and financing.

In 2015 with healthcare costs now approaching 20% of the U.S. Gross Domestic Product and the viability of the entire U.S. Government at risk to projected costs increases and unfunded liabilities of the Medicare and Medicaid programs (estimated at $64 trillion), business as usual fee-for-service medicine is no longer an option and the many cathedrals of medicine built by ‘do more to earn more’ largesse are clearly at risk in the shifting sands of value based care.

While the ‘value’ v. volume agenda has been around for a while via risk based contracting including case rates, bundled payment and even capitation – both global and professional only versions – their penetration of mainstream medicine was relatively modest – until now. That is if you can believe the growing prevalence and penetration of risk bearing ACOs arrangements, a tapestry of bundled payment participation via Federal programs and a less transparent portfolio of privately negotiated ‘value based arrangements’.value based care meklaus

Into this theater steps one of the trophy consulting companies with both wide (global) and deep (extensive client penetration into the health plan, provider and IDN communities) aka Accenture Health (follow via @AccentureHealth).

Developing the narrative with a ‘value tutorial’ of sorts is Gerry Meklaus, the Managing Director of Accenture North America for Clinical & Health Management Services. We speak with Gerry Wednesday at 12 Noon Pacific/3PM Eastern at Pophealth Week where my colleague and co-founder Fred Goldstein, President of Accountable Health, LLC will engage Gerry in the value conversation and the many touch points between a value framework for ACOs and population health strategies of provider organizations.

Key terms to un-bundle and digest are the ‘Big Three’: 1) to ‘improve outcomes’ via emerging best practices, the reduction in variation and effective engagement of the patient in shared decision making, 2) the effective lowering of costs from a ‘total cost of care’ perspective (not just niche wins – if you will), and 3) the well known challenge to de-silo the many silos in the healthcare ecosystem driving fragmentation, redundancy and a less that patient centered experience.

Join us as we gain insight into the challenges and successes in the market to date!

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Originally posted to ACOwatch.com.

 

Population Health Management Framework: Identification of Your Population

by Gregg A. Masters

In this PopHealth Week‘s edition of FredTalk, Fred Goldstein @fsgoldstein highlights the critical first step in the the Population Health Alliance‘s (PHA) Population Health Management Framework, “Identification” of your population….

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’:

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.

 

 

 

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.