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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