After receiving more than 1,300 public comments on its Proposed Rule for Accountable Care Organizations (ACOs) under the Medicare Shared Savings Program, CMS published its Final ACO Rule in the Federal Register on November 2. In addition, the FTC and DOJ filed their Final Statement of ACO Antitrust Enforcement Policy and CMS issued an Interim Final Rule with a 60-day comment period describing five separate fraud and abuse waivers applied to Stark, the Anti-Kickback Statute and the Civil Monetary Penalty laws. Finally, the IRS also issued Fact Sheet 2011-11 confirming Notice 2011-20 from April 18, 2011, on its expectations regarding ACOs participating in the Shared Savings Program.
Category: Accountable Care Organization
CMS Issues Final ACO Regulations
Friday, 11 November, 2011 09:17
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SIP Creates Accountable Care Organization – Accountable Care Administration
Friday, 28 October, 2011 13:35
There is nothing as constant as change and based upon seven pages of provisions (out of almost 3000 pages) in the new Health Reform Legislation (PPACA), our entire healthcare delivery system will begin to significantly change for Medicare patients between 1/1/2012 and 1/1/2014. These changes will not be due to the issues of mandated benefits and the possibility of the elimination of the current employer based system of providing benefits, but rather because of the legislation, which created Accountable Care Organizations (ACO). But is it really a change or more like the old philosopher, and great Yankee catcher says, “It’s déjà u all over again”? You be the judge after we more carefully examine ACO’s and how they are expected to work along with how your healthcare will be impacted. Now that Health and Human Services (HHS) has issued the final ACO regulations, we have much more clarity.