Government Issues Eagerly Awaited Proposed ACO Regulations


At long last, the oft-delayed Proposed Rule for Accountable Care Organizations (the Proposed Rule) has been issued with only nine months remaining before the Medicare Shared Savings Program is implemented on January 1, 2012. The question now is whether there will be a sufficient number of ACO applicants around the country standing in line to manage the health care needs of an expected 5,000,000 Medicare beneficiaries.

The Proposed Rule, along with a new statement on antitrust enforcement and possible waivers of certain federal laws, such as Stark and the Anti-Kickback Statute, reflects considerable thought and unprecedented coordination between CMS, the Federal Trade Commission, the Department of Justice, the Office of the Inspector General and the IRS (the Agencies). However, more questions have been raised than necessarily answered. CMS and the other Agencies are actively seeking comments on many of the key standards that are still in flux and which need to be finalized before a potential ACO participant can make a truly informed decision on whether to submit a certification application to CMS.

Please see full article below for more information.

LOADING PDF: If there are any problems, click here to download the file.

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.

© Katten Muchin Rosenman LLP | Attorney Advertising

Written by:


Katten Muchin Rosenman LLP on:

Popular Topics
Reporters on Deadline

"My best business intelligence, in one easy email…"

Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra:

Sign up to create your digest using LinkedIn*

*By using the service, you signify your acceptance of JD Supra's Privacy Policy.

Already signed up? Log in here

*With LinkedIn, you don't need to create a separate login to manage your free JD Supra account, and we can make suggestions based on your needs and interests. We will not post anything on LinkedIn in your name. Or, sign up using your email address.