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; Antitrust — Background; Antitrust - Why Any Antitrust Statement? Antitrust—Provider-Controlled Network (PCN) Antitrust Analysis; Antitrust — What Issues Does the Final ACO Antitrust Statement Address? Antitrust: 1. Application of the Statement; Antitrust: 2. When Does the Rule of Reason Apply? Antitrust: 3. The Rule-of-Reason Safety Zone; Antitrust—The Rule-of-Reason Safety Zone; Antitrust: 4. Rule-of-Reason Guidance Outside the Safety Zone; Antitrust: 5. The Expedited Voluntary

Antitrust Review Letter Process; Antitrust—The Expedited Voluntary Antitrust

Review Letter Process; Antitrust—Final Observations and Questions; Quality; Privacy and Health Information Technology; Notifications; Marketing; Tax Exemption Hospitals and Other Healthcare Organizations; And, CMS Innovation Center.

Please see full presentation below for more information.

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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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