Donald Berwick submitted testimony: To watch the hearing click here. Chairman Baucus, Ranking Member Grassley, and Members of the Committee; thank you for the opportunity to appear before you to discuss ways to strengthen Medicare and Medicaid and modernize America’s health care delivery system. The Affordable Care Act, passed by Congress and signed into law …
Tag Archives: mssp
California Medical Association Adopts Organizing Principles for Accountable Care Organizations (ACOs)
Francisco Silva Guiding principle – The goal of an accountable care organization (ACO) is to increase access to care, improve the quality of care and ensure the efficient delivery of care. Within an ACO, a physician’s primary ethical and professional obligation is the well-being and safety of the patient. ACO governance – ACOs must be …
NCQA ACO Comment Period Deadline Looming: 11.19.10
Alston & Bird LLP On October 19, 2010, the National Committee for Quality Assurance (NCQA) released its draft 2011 Accountable Care Organizations (ACO) criteria for public comment. NCQA’s mission is to improve health care quality through its activities, such as accrediting and certifying health care organizations and recognizing clinicians and practices in key areas of performance. …
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‘Fear and Trembling’ at AHIP?
The impending rise of Accountable Care Organizations (ACOs) as market participants, and their apparent autonomy from an ‘institutional partner’ perspective, whether of the clinical or licensing (i.e., payor) variety, is no doubt raising concerns in certain sectors. Clearly the guidance to date, which enables ACO anointing absent a hospital partner is causing some hospital CEOs, and/or their parent systems, …
Extracting the ‘H’ from P/H/O: The Anatomy of One Unwinding
Gregg Masters, MPH Since we now find ourselves at the gateway of resurgent if not soon to be robust exploratory conversations between hospitals, their medical staffs, the broader private medical community and the likely joint venture entities to implement any collaborative vision, this time under the aegis of Accountable Care Organization (ACO) incentives, I thought …
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Creating Accountable Care Organizations: A NEJM Roundtable
Thomas H. Lee, M.D., Lawrence P. Casalino, M.D., Ph.D., Elliott S. Fisher, M.D., M.P.H., and Gail R. Wilensky, Ph.D. N Engl J Med 2010; 363:e23 Introduction Under the Affordable Care Act, Medicare will launch a Shared Savings Program for groups of health care providers that join forces, with or without hospitals or health plans, to …
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Audio Recording: Workshop Regarding Accountable Care Organizations, and Implications Regarding Antitrust, Physician Self-Referral, Anti-Kickback, and Civil Monetary Penalty (CMP) Laws
On October 5th, 2010 the Federal Trade Commission, the Centers for Medicare & Medicaid Services (CMS) and the Department of Health and Human Services’ Office of Inspector General co-hosted a workshop on several issues associated with Accountable Care Organizations (ACOs), organizations authorized by the new Affordable Care Act that seek to deliver high-quality and efficient health care …
…..And Now for Something Completely Different?
Mark Browne Mark Browne is an experienced physician executive working as a healthcare consultant with PYA. He can be found as @consultdoc on twitter. Last week the healthcare world was all abuzz. The federal government was set to begin the journey that every player in the marketplace has been waiting for, the road to the accountable care …
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Free Webinar! ‘The Key Enablers to Building a Sustainable ACO’
Registration: Tuesday, November 9th, 2010 1:00 PM to 2:00PM Eastern (10:00AM – 11:00AM Pacific) Five Key Accountable Care Organization Enablers How to put these enablers in place in a range of health care settings Acquire an understanding of new ACO legislation Gain new insight in how to move to an integrated care model Considerations for …
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Workshop Examines Effects of Waiver Authority on Development of ACOs
J. Peter Rich J. Peter Rich is a partner in the law firm of McDermott Will & Emery LLP and is based in the Firm’s Los Angeles office. He co-chairs the Firm’s Insurance / Payors Affinity Group. The FTC, CMS and OIG hosted a public workshop on October 5, 2010, featuring panel and listening discussions on …
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