ACOs

NOIs Due Soon to Apply for 2014 ACO Program

by Sarah E. Swank | Ober|Kaler on 5/20/2013

The Medicare Shared Savings Program (MSSP) for accountable care organizations (ACOs) established under the Affordable Care Act is about to kick-off its second year with a new round of applications for the January 1, 2014...more

CMS Sets Dates for Accepting Another Round of MSSP ACO Applications

by Stephanie Willis | Mintz Levin - Health Law on 4/3/2013

The Centers for Medicare & Medicaid Services (CMS) is preparing to open its doors for another round of Accountable Care Organizations (ACOs) to participate in the Medicare Shared Savings Program (MSSP). This year, CMS is...more

Health Care Reform Implementation Update - March 14, 2013

by Mark Alderman | Cozen O'Connor on 3/14/2013

Last week, the Department of Health and Human Services (HHS) conditionally approved state partnership marketplaces in Iowa, Michigan, New Hampshire and West Virginia; Accountable Care Organizations wrote to the Centers for...more

CMS Announces More Bundled Payment Opportunities: Are We Moving Back to Capitation?

by Sarah E. Swank | Ober|Kaler on 3/8/2013

CMS recently announced that it accepted over 500 participants into the Bundled Payments for Care Improvement initiative, which seeks to provide financial incentives for high quality coordinated care across provider types and...more

CMS Announces Participants in Bundled Payments for Care Improvement Initiative

by Aytan Dahukey, Eric Klein, Lynsey Mitchell, Eugene Ngai, Kenneth Yood, Aleah Yung | Sheppard Mullin Richter & Hampton LLP on 3/1/2013

The Centers for Medicare & Medicaid Services (CMS) recently announced that over 500 organizations will begin participating in the Bundled Payments for Care Improvement initiative. The large number of participating...more

FTC's Norman PHO Advisory Opinion - New Clinical Integration Guidance, Same Antitrust Analysis

by William Berlin | Ober|Kaler on 2/21/2013

The Federal Trade Commission (FTC) provided its first guidance for clinically integrated networks since passage of the Affordable Care Act (ACA) and the joint FTC/DOJ Accountable Care Organization (ACO) Antitrust Policy...more

FTC Issues Another Favorable Clinical Integration Program Advisory Opinion

by Ashley Fischer | McDermott Will & Emery on 2/20/2013

In a February 13, 2013, advisory opinion, the Federal Trade Commission (FTC) Bureau of Competition stated that it has no present intention to recommend that the FTC challenge a clinical integration program (CIP) proposed by...more

FTC Issues First Clinical Integration Advisory Opinion Post-ACA

by Michael Denniston, Jay Hardcastle, Jay L. Levine | Bradley Arant Boult Cummings LLP on 2/20/2013

FTC staff advisory opinions are not issued all that frequently and advisory opinions regarding clinical integration are issued even less frequently. The latest advisory opinion, issued last week, is therefore noteworthy, not...more

OIG ?'s Co-Management Arrangement for Cardiac Cath Labs

by Daniel Murphy, Dinetia Newman | Bradley Arant Boult Cummings LLP on 2/8/2013

On January 7, 2013, the Department of Health and Human Services Office of Inspector General (“OIG”) posted a favorable advisory opinion concerning an existing co-management arrangement (“Arrangement”) between a large, rural,...more

Who Will Pay For Digital Health Apps?

by Michael Esquivel | Fenwick & West Life Sciences Group on 1/31/2013

The question of whether or not smartphone apps can play an important role in the delivery of healthcare services has been more or less answered with a resounding yes. From weight loss to diabetes monitoring to diagnosing ear...more

More Providers Form Accountable Care Organizations; Growth in Medicare Spending Continues to Decrease

by King & Spalding on 1/18/2013

On January 10, 2013, HHS Secretary Kathleen Sebelius announced that 106 new Accountable Care Organizations (ACOs) have formed and begun participating in the Shared Savings Program as of January 1, 2013....more

Statistical Uncertainty in the Medicare Shared Savings Program

by King & Spalding on 1/15/2013

CMS has released the results of a recent analysis, published in Vol. 2, No. 4 of the Medicare & Medicaid Research Review, entitled Statistical Uncertainty in the Medicare Shared Savings Program....more

Medicare Shared Savings Program Grows by 106 ACOs in 2013

by Stephanie Willis | Mintz Levin - Health Law on 1/13/2013

Yesterday the Centers for Medicare & Medicaid Services formally announced the 106 new Accountable Care Organizations (ACOs) participating in the 2013 Medicare Shared Savings Program (MSSP) cycle. CMS also announced that 15...more

ACOs and Long-Term Care: Don't Get Left Behind

by Neville M. Bilimoria | Duane Morris LLP on 12/28/2012

With the U.S. Supreme Court decision ratifying President Obama's Patient Protection and Affordable Care Act (the "Affordable Care Act"), the implementation and development of accountable care organizations (ACOs) continued in...more

Time's Up: Why You Can No Longer Afford to Ignore ACOs

by Matthew Chayt | Nossaman LLP on 12/11/2012

Of the healthcare recommendations announced by the Wall Street Journal’s CEO Council last month, ACOs address all four. First of all, the ACO is clearly a new delivery model that uses the “full continuum of care givers.” ...more

Birmingham Medical News: 2012 Health Care Year In Preview

by Howard E. Bogard | Burr & Forman on 12/6/2012

The health care events of 2012 can be properly divided into "Before" and "After": Before the Supreme Court ruling on the Affordable Care Act and President Obama's re-election and After. Before these two events, the viability...more

How Physician Practices and Physicians Can Take Advantage of the Supreme Court's ACA Ruling

by Saul Ewing LLP on 9/11/2012

The June 28th Supreme Court ruling to uphold the Patient Protection and Affordable Care Act ("ACA") removed some of the uncertainty surrounding the immediate short-term prospects for health care reform. Now that the debate...more

Getting Healthy Together

by Richard Spohn | Nossaman LLP on 9/4/2012

Originally Published in The Recorder, September 4, 2012. A whole lotta conjunctions goin' on with California health care system players, an exceptional surge of large acquisitions and consolidations, some with surprising...more

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