This presentation covers the implications for ACOs under physician self-referral, anti-kickback, civil monetary penalty and antitrust laws.

Medicare Accountable Care Organizations: Section 3022 of Affordable Care Act Basic Requirements for ACO Participation; Formal legal structure to receive and distribute shared savings; Minimum of 5,000 assigned beneficiaries; Sufficient number of primary care professionals and sufficient information on professionals for beneficiary assignment and payments; Participation in program for at least three years; Leadership and management structure (including clinical and administrative systems);and Processes to promote evidence based medicine