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Clinically Integrated Networks; The PHOs of the Twenty-First Century?

In This Presentation: - Why Clinically Integrated Networks (CINs) Are Needed? - How Are CINs Similar to PHOs/How They Differ? - What’s In It for Physicians/for Hospitals/Others? - How Are CINs Organized and...more

Health Care Legal News - July 12, 2012 • Volume 2, Number 6

In This Issue: - SUPREME COURT TO HEAR FTC CHALLENGE TO GEORGIA HOSPITAL MERGER By: James M. Burns - On June 25, the United States Supreme Court granted a request by the Federal Trade Commission (FTC) for...more

Beyond the Cover Story Part 2: The Final ACO Regulations - November 9, 2011 (Presentation)

In This Presentation: What Guidance is Available? What is an ACO? Application; Agreement; Governance; Leadership; Two Shared Savings Models; Shared Savings Payments; Appeals; Assignment of Beneficiaries; Fraud and Abuse;...more

Revisiting the Medicare Shared Savings Program: An Interagency Effort to Promote Accountable Care

On October 20, 2011, the Centers for Medicare & Medicaid Services (“CMS”) released its final rule (“Final Rule”) implementing the voluntary Medicare Shared Savings Program (“Program”)1 for accountable care organizations...more

The ACO Final Rule Is Released Are You Ready

On October 20, 2011, the Centers for Medicare and Medicaid Services (CMS) released an advance copy of the final rule for accountable care organizations (ACOs). Additional governmental guidance was issued to address antitrust...more

Health Headlines - June 20, 2011

In This Issue: - District Court Upholds CMS’s Disallowance Of Illinois Medicaid “Provider Tax” - An IRS Advisory Committee Recommends Changes To IRS Rules For Group Exemptions - Eighth Circuit Denies Antitrust...more

Beyond the Cover Story: A Focused Overview of the Key Provisions of the ACO Regulations

Agenda - Welcome – Julie Kass - Application and Agreement with CMS – Sarah Swank - Eligibility, Governance and Leadership – Sarah Swank and Bob Clark - Antitrust – Bill Berlin - Fraud and Abuse – Julie Kass -...more

Ropes & Gray Analysis of CMS Proposed ACO Rule and Related Agency Issuances

Introduction On March 31, 2011, the Centers for Medicare & Medicaid Services (“CMS”) released the long-awaited Medicare Shared Savings Program proposed regulations establishing Medicare Accountable Care Organizations...more

CMS Releases Proposed Rule Governing Accountable Care Organizations

On March 31, 2011, the Centers for Medicare and Medicaid Services (“CMS”) released a long-awaited Proposed Rule governing accountable care organizations (“ACOs”). The Proposed Rule will be formally published in the Federal...more

The Dawning of the Age of Accountable Care? Federal Agencies Reveal Rules for Accountable Care Organizations

Rushing to avoid being cast as an April Fools’ publication, the Centers for Medicare and Medicaid Services (CMS) published its proposed rule implementing the Patient Protection and Affordable Care Act (PPACA)’s Section 3022,...more

Health Headlines - April 4, 2011

In This Issue: - CMS Releases Proposed ACO Rule - U.S. Antitrust Enforcement Agencies Release Policy Statement Regarding ACOs - CMS/OIG Notice Regarding Waiver Designs in Connection with the Medicare Shared...more

ACO Update: Federal Agencies Release Coordinated ACO Shared Savings Program Legal Issues

Today, several agencies simultaneously announced guidance for Accountable Care Organizations (ACOs). Today’s announcements include: (1) the proposed rule for the Medicare Shared Savings Program from the Centers for Medicare &...more

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