In this presentation: Basic Premise for ACOs; Dr. Berwick – CMS Administrator; ACO Vision; Medicare Shared Savings Program and Medicare Accountable Care Organizations: Section 3022 of Affordable Care Act; Organizations that may Become Medicare ACOs; CMS Regulations; Basic Statutory Requirements for ACO Participation; Qualification for Shared Savings; Assignment of Medicare Beneficiaries to ACO; ACO Legal Issues; Civil Monetary Penalty Law (“CMPL”); Anti-Kickback Statute (“AKS”); Physician Self Referral Law/Stark; ACO Problem Under CMPL, AKS and Stark; Existing Regulatory Guidance; Favorable Factors Common to OIG Advisory Opinions and Proposed Stark Exception; CMS October 5 Workshop on Accountable Care Organizations; Panelists for CMP/AKS/Stark; OIG/CMS Overview; OIG/CMS Questions to Panel; Antitrust; Price Fixing; Pro-Competitive Efficiencies; Price Fixing; Mergers; Group Boycotts; FTC Panel; Proposed Safe Harbor Under Consideration; ACO Scale; FTC Questions to Panel; How Will Specialists Participate in ACOs?; and Open Questions.
Please see full presentation below for more information.
Firefox recommends the PDF Plugin for Mac OS X for viewing PDF documents in your browser.
We can also show you Legal Updates using the Google Viewer; however, you will need to be logged into Google Docs to view them.
Please choose one of the above to proceed!
LOADING PDF: If there are any problems, click here to download the file.