Accountable Care Organization Regulations - The ACO is a Camel, Not a Unicorn


The federal government is trying to reinvent the health care system through a variety of programs. One of them is the Accountable Care Organization program for Medicare. Another is a series of initiatives from the CMS Center for Innovation, including bundled payment initiatives. Commercial insurance companies have already deployed ACO-like approaches to contracting with their provider networks, stepping away from traditional fee-for-service payment and towards pay for performance. These changes in reimbursement will drive changes in care delivery systems, and physicians need to prepare themselves to be integrated into these new systems. This presentation examines the current landscape -- including the final ACO regs -- and future opportunities for providers.

David Harlow consults to provider organizations on matters including physician-hospital collaboration, and has prepared successful demonstration project applications for CMS gainsharing (PHCD) and ACE demonstrations.

He can educate your organization and facilitate the conversations that need to happen among hospitals, physicians and other providers in order to find a way forward together in a rapidly-changing health care environment.

Engage David Harlow as a keynote speaker or consultant to your organization:

One recent review: ’@healthblawg is so good I just tend to listen vs tweet’

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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