I've come around to the idea that many alternative payment models are really limited in the traditional Medicare space because they can't stop people from using expensive care from non-model participants. ACOs and episode-based payment models can't control "leakage" enough to be very effective.
🚨New Publication🚨 Risk-based provider payment is more common in Medicare Advantage than any other segment of US health care financing. What happens to broad categories of health care utilization, and low-value service use, when provider groups adopt these contracts? jamanetwork.com/journals/jam...
Health Care Utilization and Low-Value Service Use After Risk-Based Contract Adoption
This cohort study examined whether health care organizations’ transition to risk-based payment contracts in Medicare Advantage was associated with changes in health care utilization or use of low-valu...
jamanetwork.com
November 10, 2025 at 6:06 PM
I've come around to the idea that many alternative payment models are really limited in the traditional Medicare space because they can't stop people from using expensive care from non-model participants. ACOs and episode-based payment models can't control "leakage" enough to be very effective.
JP was on it first bsky.app/profile/acos...
LSU head coach Jon Gruden btw
October 31, 2025 at 1:00 PM
JP was on it first bsky.app/profile/acos...
Multiple concussions or not, it feels like this guy was just never gonna make it bsky.app/profile/acos...
October 22, 2025 at 11:06 PM
Multiple concussions or not, it feels like this guy was just never gonna make it bsky.app/profile/acos...
リサイクルショップの文具コーナーで大当たり
万年筆、パイロットの1970年代カスタムストライプ
ホルベインの廃盤パラリセーブル16号筆
10mmアクリルの極厚定規×2
全部合計で165円でした
万年筆と筆だけで10000円以上になるのでは…
極厚定規がたわまないのですごくいいんですよね
片方にはうっすらAcosシリーズ77って刻印があるので、たぶんNECのメインフレームのノベルティ
万年筆、パイロットの1970年代カスタムストライプ
ホルベインの廃盤パラリセーブル16号筆
10mmアクリルの極厚定規×2
全部合計で165円でした
万年筆と筆だけで10000円以上になるのでは…
極厚定規がたわまないのですごくいいんですよね
片方にはうっすらAcosシリーズ77って刻印があるので、たぶんNECのメインフレームのノベルティ
October 14, 2025 at 3:10 PM
リサイクルショップの文具コーナーで大当たり
万年筆、パイロットの1970年代カスタムストライプ
ホルベインの廃盤パラリセーブル16号筆
10mmアクリルの極厚定規×2
全部合計で165円でした
万年筆と筆だけで10000円以上になるのでは…
極厚定規がたわまないのですごくいいんですよね
片方にはうっすらAcosシリーズ77って刻印があるので、たぶんNECのメインフレームのノベルティ
万年筆、パイロットの1970年代カスタムストライプ
ホルベインの廃盤パラリセーブル16号筆
10mmアクリルの極厚定規×2
全部合計で165円でした
万年筆と筆だけで10000円以上になるのでは…
極厚定規がたわまないのですごくいいんですよね
片方にはうっすらAcosシリーズ77って刻印があるので、たぶんNECのメインフレームのノベルティ
Dá sim pra chamar esta gente Sertanogenta de ladrona de pobres. Igual aos Templos Bancários Neopenteco$tais !Porque o ladrão genuíno não escolhe a vítima, igual aos Bi$pos Bilionários, as Bet$ e os Bancos ! $acos da mesma Farinha Lima !...
Estava lendo, pasmem, alguns municipios com "calamidade financeira" decretada.
PEQUENAS CIDADES, GRANDES CACHÊS
Pequenas cidades mineiras gastam milhões em emendas PIX com sertanejos
Leonardo, Jorge & Mateus, César Menotti & Fabiano, Barões da Pisadinha, Padre Fábio de Melo entre outros receberam mais de R$ 29 milhões de recursos públicos
revistaforum.com.br/politica/202...
Pequenas cidades mineiras gastam milhões em emendas PIX com sertanejos
Leonardo, Jorge & Mateus, César Menotti & Fabiano, Barões da Pisadinha, Padre Fábio de Melo entre outros receberam mais de R$ 29 milhões de recursos públicos
revistaforum.com.br/politica/202...
October 14, 2025 at 3:16 PM
Dá sim pra chamar esta gente Sertanogenta de ladrona de pobres. Igual aos Templos Bancários Neopenteco$tais !Porque o ladrão genuíno não escolhe a vítima, igual aos Bi$pos Bilionários, as Bet$ e os Bancos ! $acos da mesma Farinha Lima !...
December 3, 2024 at 12:51 AM
#WRITINGQ for last line of first chapter
ACoS: While the surviving troops pulled down their tents and packed the wagons to depart for home, Deklyn set the bodies ablaze and dropped to his knees, begging for forgiveness.
TFB: Just like Father always said, Silvyr was weak and useless.
ACoS: While the surviving troops pulled down their tents and packed the wagons to depart for home, Deklyn set the bodies ablaze and dropped to his knees, begging for forgiveness.
TFB: Just like Father always said, Silvyr was weak and useless.
September 20, 2023 at 4:47 PM
#WRITINGQ for last line of first chapter
ACoS: While the surviving troops pulled down their tents and packed the wagons to depart for home, Deklyn set the bodies ablaze and dropped to his knees, begging for forgiveness.
TFB: Just like Father always said, Silvyr was weak and useless.
ACoS: While the surviving troops pulled down their tents and packed the wagons to depart for home, Deklyn set the bodies ablaze and dropped to his knees, begging for forgiveness.
TFB: Just like Father always said, Silvyr was weak and useless.
ACOs were expected to save the government nearly $5 billion by 2019. So far, it hasn't come anywhere close. https://wausaupilotandreview.com/2018/08/10/medicare-to-overhaul-acos-critics-fear-less-participation/
December 9, 2024 at 2:42 PM
ACOs were expected to save the government nearly $5 billion by 2019. So far, it hasn't come anywhere close. https://wausaupilotandreview.com/2018/08/10/medicare-to-overhaul-acos-critics-fear-less-participation/
Yea so versions of HMOs are like that too. ACOs are a weaker version of capitation.
It's a fixed annual (or monthly) sum of money given to providers to pay for a patient population for the whole year. Medicaid MCOs work that way too. As does Medicare Advantage. Many HMOs like Kaiser may do the same
It's a fixed annual (or monthly) sum of money given to providers to pay for a patient population for the whole year. Medicaid MCOs work that way too. As does Medicare Advantage. Many HMOs like Kaiser may do the same
July 19, 2023 at 3:21 PM
Yea so versions of HMOs are like that too. ACOs are a weaker version of capitation.
It's a fixed annual (or monthly) sum of money given to providers to pay for a patient population for the whole year. Medicaid MCOs work that way too. As does Medicare Advantage. Many HMOs like Kaiser may do the same
It's a fixed annual (or monthly) sum of money given to providers to pay for a patient population for the whole year. Medicaid MCOs work that way too. As does Medicare Advantage. Many HMOs like Kaiser may do the same
I think the plot of the Bowl dragged a lot, but I can see its significance in the overall plot. Halting the seasons is nothing but halting time itself. Maybe
ACOS happening so fast is a commentary on it. Halting the Wheel of Time halts the Pattern itself
ACOS happening so fast is a commentary on it. Halting the Wheel of Time halts the Pattern itself
February 1, 2025 at 9:34 PM
I think the plot of the Bowl dragged a lot, but I can see its significance in the overall plot. Halting the seasons is nothing but halting time itself. Maybe
ACOS happening so fast is a commentary on it. Halting the Wheel of Time halts the Pattern itself
ACOS happening so fast is a commentary on it. Halting the Wheel of Time halts the Pattern itself
Population Health - CMS - Which ACOs scored highest in quality?
healthcarefinancenews.com/slideshow/see-…
healthcarefinancenews.com/slideshow/see-…
See which ACOs scored highest in each quality benchmark
CMS requires reporting in 33 separate benchmarks, ranging from basic measures like providing clear access to specialists to more targeted issues like blood pressure levels in beneficiaries with hypertension. See who scored highest in each one.
t.co
November 30, 2024 at 3:33 PM
Population Health - CMS - Which ACOs scored highest in quality?
healthcarefinancenews.com/slideshow/see-…
healthcarefinancenews.com/slideshow/see-…
@thatsyguy.bsky.social The Salidar six swearing to Egwene happens off-page, Myrelle and Nisao swear to her after Egwene discovers what they've done with Lan, and they are then sent to fetch the others to swear as well. This is ACoS chapter 12. Sheriam had earlier admitted they'd sent the ferrets...
March 14, 2025 at 4:16 PM
@thatsyguy.bsky.social The Salidar six swearing to Egwene happens off-page, Myrelle and Nisao swear to her after Egwene discovers what they've done with Lan, and they are then sent to fetch the others to swear as well. This is ACoS chapter 12. Sheriam had earlier admitted they'd sent the ferrets...
Lots of people consider ACOS (and even LoC) as part of the slog. I am not one of those people. What constitutes the Slog varies reader to reader haha. But yes! We need to see more on screen! #SaveWoT
June 23, 2025 at 5:34 PM
Lots of people consider ACOS (and even LoC) as part of the slog. I am not one of those people. What constitutes the Slog varies reader to reader haha. But yes! We need to see more on screen! #SaveWoT
May 17, 2025 at 2:46 PM
This kind of analytical and pragmatic approach is key for healthcare and actuarial professionals, including ACOs, who follow for insights on financial optimization and actuarial methods.
October 23, 2025 at 12:04 PM
This kind of analytical and pragmatic approach is key for healthcare and actuarial professionals, including ACOs, who follow for insights on financial optimization and actuarial methods.
Medicaid cuts loom. Staff are stretched thin. But digital connectivity and coordinated care models are offering a lifeline. FQHCs integrating more services, using analytics, and participating in ACOs are holding ground where they serve the most vulnerable.
chimedhl.org/3JDq83w
chimedhl.org/3JDq83w
Connectivity and care coordination help FQHCs survive a strained environment
With Medicaid cuts threatening the existence of FQHCs, digital connectivity and care coordination are a lifeline for community health.
chimedhl.org
October 30, 2025 at 5:49 PM
Medicaid cuts loom. Staff are stretched thin. But digital connectivity and coordinated care models are offering a lifeline. FQHCs integrating more services, using analytics, and participating in ACOs are holding ground where they serve the most vulnerable.
chimedhl.org/3JDq83w
chimedhl.org/3JDq83w
Cargos y afines al PP emprenden una campaña de acoso a las víctimas de la dana por redes sociales, acoso escolar
Posts relacionados bsky.app/search?q=acos..
Posts relacionados bsky.app/search?q=acos..
Cargos y afines al PP emprenden una campaña de acoso a las víctimas de la dana por redes sociales
La declaración de los familiares de las víctimas en la comisión del Congreso que han desmontado gran parte del argumentario del PP en relación con la dana ha provocado un aluvión de ataques de diversos miembros y simpatizantes de los populares que tratan de vincularles con intereses políticos
www.eldiario.es
November 6, 2025 at 10:50 AM
Cargos y afines al PP emprenden una campaña de acoso a las víctimas de la dana por redes sociales, acoso escolar
Posts relacionados bsky.app/search?q=acos..
Posts relacionados bsky.app/search?q=acos..
Acos schampo för torr hårbotten funkade bra innan min hårbotten blev ännu känsligare. Balsamet i samma serie använder jag dock fortfarande i hårbottnen.
June 5, 2024 at 11:28 AM
Acos schampo för torr hårbotten funkade bra innan min hårbotten blev ännu känsligare. Balsamet i samma serie använder jag dock fortfarande i hårbottnen.
That is a lot of books for the top tier and I really appreciate the NS love
Also I would've put ACoS higher than PoD any day but you also have all my respect for not putting AMoL at the top. That's bold
Also I would've put ACoS higher than PoD any day but you also have all my respect for not putting AMoL at the top. That's bold
November 18, 2024 at 8:39 PM
That is a lot of books for the top tier and I really appreciate the NS love
Also I would've put ACoS higher than PoD any day but you also have all my respect for not putting AMoL at the top. That's bold
Also I would've put ACoS higher than PoD any day but you also have all my respect for not putting AMoL at the top. That's bold
vou cortar os aços do varal da ana vitoria, quero ficar como eva e nao posso
September 20, 2024 at 9:11 PM
vou cortar os aços do varal da ana vitoria, quero ficar como eva e nao posso
Award season is upon us, so if you enjoyed ACoS, please consider nominating it!
indiestorygeek.com/story/5543
indiestorygeek.com/story/5543
November 2, 2023 at 5:04 PM
Award season is upon us, so if you enjoyed ACoS, please consider nominating it!
indiestorygeek.com/story/5543
indiestorygeek.com/story/5543
Are you a US based reporter covering the border with Mexico? We've joined forces with @freedom.press @eff.org and ACOS Alliance to develop a series of free to attend security trainings taking place in Albuquerque, NM and El Paso, TX this August. For more information and to apply: eff.org/jstapp
June 17, 2025 at 1:28 PM
Are you a US based reporter covering the border with Mexico? We've joined forces with @freedom.press @eff.org and ACOS Alliance to develop a series of free to attend security trainings taking place in Albuquerque, NM and El Paso, TX this August. For more information and to apply: eff.org/jstapp