At the first day of the J.P. Morgan Healthcare Conference, “[T]he answer to the ultimate question of life, the universe and everything is 42.” Recognize that famous line? No, it’s not something from ChatGPT, it’s Douglas...more
1/9/2024
/ Artificial Intelligence ,
Chronic Care Managment (CCM) ,
Healthcare ,
Life Sciences ,
Machine Learning ,
Medicaid ,
Medical Devices ,
Medicare ,
Pharmaceutical Industry ,
Popular ,
Technology
I was struck on the first day of the 41st Annual J.P. Morgan Healthcare Conference by Sanjay Doddamani (CEO of UpStream Healthcare) saying that “Health is a state of independence.” A simple statement, but a very profound and...more
1/10/2023
/ ACOs ,
EBITDA ,
Health Care Providers ,
Hospitals ,
Medicaid ,
Medicare ,
Medicare Advantage ,
Patients ,
Pharmaceutical Industry ,
Popular ,
Value-Based Care
Have you been working out recently? We hope so, for today, Day Three of the 40th Annual J.P. Morgan Healthcare Conference, was definitely a day for heavy lifting. Got a challenge that seems overwhelming? A problem that’s big...more
For those of you who know me, I like to have fun with my Zoom backgrounds – choosing photos of interesting scenery or changing them mid-call to reflect my mood or negotiating strategy. Sitting in front of my computer this...more
1/12/2022
/ Centers for Medicare & Medicaid Services (CMS) ,
Civil Investigation Demand ,
Coronavirus/COVID-19 ,
Department of Justice (DOJ) ,
EBITDA ,
False Claims Act (FCA) ,
Healthcare ,
Humana ,
Medicaid ,
Medical Loss Ratio ,
Medicare Advantage ,
Moderna Inc. ,
Pfizer ,
Vaccinations ,
Value-Based Care
Sitting in the dark before 6 am in my Los Angeles house with my face lit up by yet another Zoom screen, wearing a stylish combination of sweatpants, dress shirt and last year’s JPM conference badge dangling around my neck for...more
1/12/2021
/ Affordable Care Act ,
CMMI ,
Coronavirus/COVID-19 ,
Electronic Protected Health Information (ePHI) ,
Healthcare ,
Home Health Care ,
Humana ,
Insurance Industry ,
JPMorgan Chase ,
Medicaid ,
Medicare ,
Medicare Advantage ,
Mental Health ,
Moderna Inc. ,
Over The Counter Drugs (OTC) ,
Pfizer ,
Professional Conferences ,
Public Health Emergency ,
Teleconferences ,
Vaccinations ,
Value-Based Care ,
Walgreens
CMI, CMMI, and Changing the Consumer Experience in the U.S. and China -
Case Mix Index: Sitting in multiple hospital, payor and physician organization presentations at the J.P. Morgan healthcare conference this year, it is...more
1/17/2020
/ Centers for Medicare & Medicaid Services (CMS) ,
China ,
CMMI ,
Health Care Providers ,
Health Insurance ,
Healthcare Facilities ,
Hospitals ,
Life Sciences ,
Medicaid ,
Medicare ,
Medicare Advantage ,
Outpatient Services ,
Universities ,
Value-Based Care
If I printed a tee shirt for the 2020 J.P. Morgan Healthcare Conference, what would it say? In past years, it would have been “Big Data,” Analytics, Artificial Intelligence, ACA, Risk, Medicare Advantage or Quality. This...more
1/15/2020
/ Data Management ,
Health Care Providers ,
Health Insurance ,
Healthcare ,
Healthcare Costs ,
Hospitals ,
JPMorgan Chase ,
Medicaid ,
Medicare ,
Patients ,
Pharmaceutical Industry ,
Pharmacies ,
Physicians ,
Professional Conferences ,
Value-Based Care
Please Don’t Poke the Baby – Sharing a best practice and talking about taking a local hospital learning and turning it into a systemwide approach, Mark Harrison of Intermountain Healthcare shared the fact that taking fewer...more
1/9/2019
/ Affordable Care Act ,
Cancer ,
Drug Pricing ,
Food Safety ,
Health Care Providers ,
Health Insurance ,
Hospitals ,
Medicaid ,
Partnerships ,
Physicians ,
Public Health ,
Public Safety
San Francisco (Monday, January 8, 2018): Outside it was raining heavily today in San Francisco, but inside the 2018 JP Morgan Healthcare Conference the weather was distinctly sunny. Nary a hint of gloom or pessimism was heard...more
1/11/2018
/ Affordable Care Act ,
Artificial Intelligence ,
Catholic Church ,
Centers for Medicare & Medicaid Services (CMS) ,
Health Care Providers ,
Hospitals ,
JPMorgan Chase ,
Medicaid ,
Medicare ,
Professional Conferences ,
Stem cells
A large amount of wind, much discussion about the U.S healthcare, and the public getting soaked again – if you were thinking about Washington, DC and the new Congress, you’re 3,000 miles away from the action. This is the week...more
1/11/2017
/ Affordable Care Act ,
Ambulatory Surgery Centers ,
Employee Benefits ,
Employer Group Health Plans ,
Health Care Providers ,
Medicaid ,
Medicare ,
Medicare Advantage ,
Mental Health ,
Patients ,
Professional Conferences ,
Repeal ,
Telehealth
The ancient Chinese curse – “May you live in interesting times” – certainly springs to mind these days. What does the election of Donald Trump mean for the healthcare industry, the Affordable Care Act and current healthcare...more
11/10/2016
/ ACOs ,
Affordable Care Act ,
Children's Health Insurance Program (CHIP) ,
Health Insurance ,
Health Insurance Exchanges ,
Healthcare Costs ,
Hospital Mergers ,
Hospitals ,
Industry Consolidation ,
Lobbying ,
Medicaid ,
Medicaid Expansion ,
Medicare ,
Medicare Access and CHIP Reauthorization (MACRA) ,
Physicians ,
Prescription Drug Coverage ,
Presidential Elections ,
Repeal ,
State Taxes ,
Subsidies ,
Telemedicine ,
Trump Administration
Someone asked me last week what it was like to attend the JP Morgan Healthcare Conference in San Francisco, which started its annual run on January 11, 2016. Outside the conference hotel right now is the obligatory lunchtime...more
On March 31, 2015, the U.S. Supreme Court issued its decision in Armstrong v. Exceptional Child Center, Inc., holding that Medicaid providers cannot sue to enforce reimbursement standards set forth in federal Medicaid law....more
Approximately one-third of Medicaid spending, $136 billion, is on long-term services and supports (LTSS). While the majority of Medicaid LTSS takes place in institutional settings, such as nursing facilities and mental...more
Last week, the Centers for Medicare and Medicaid Services (CMS) announced that Colorado is joining its Financial Alignment Initiative to pilot a managed fee-for-service model for people enrolled in both Medicare and Medicaid...more
The Centers for Medicare & Medicaid Services (CMS) recently announced that over 500 organizations will begin participating in the Bundled Payments for Care Improvement initiative. The large number of participating...more