Monthly Archives: January 2012

2012 is Going to Be a Busy Year

By Stephen Siegel 2012 is shaping up to be critical for the effort to implement the provisions of the Patient Protection and Affordable Care Act (“PPACA”) that are designed to reform the nation’s healthcare delivery and reimbursement systems through the … Continue reading

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Medicare Patients Aren’t the Only Patients Entitled to Enhanced Quality of Care

By Heather Miller On January 4, 2012, the Secretary of Health and Human Services (“HHS”) issued a final notice in the Federal Register announcing the initial set of 26 quality measures for Medicaid-eligible beneficiaries, which covers areas including prevention, care coordination, … Continue reading

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CMS’ ACO Pioneer Program Up and Running

By Fred Segal On December 19, 2011, CMS announced the 32 organizations selected by the CMS Innovation Center to participate as a Pioneer ACO. These ACOs have entered into contracts that commenced on January 1, 2012. The Pioneer ACOs were … Continue reading

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Advanced Payment Model ACO

By Mike Segal On October 20, 2011, CMS announced its Advanced Payment ACO Model (“APM”).  The purpose of the APM is to help fund ACO formation for independent physician groups who might be reluctant to form an ACO because of … Continue reading

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