Tag Archives: Centers for Medicare & Medicaid Services

Broad and Cassel Represents Three of the Top Ten ACOs in the Country

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Tavenner to Step Down as Head of CMS

By: Fred Segal Marilyn Tavenner, the much embattled Administrator of Centers for Medicare and Medicaid Services, announced last Friday that she will be stepping down at the end of the month. Tavenner was integral in the implementation of Healthcare.gov, the … Continue reading

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89 ACOs will join Medicare Shared Savings Program in January

The following information was recently published by Modern Healthcare. One of Medicare’s largest attempts to overhaul how hospitals and doctors are paid will expand in January even as federal officials acknowledge the need to modify the program to sustain the … Continue reading

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Christine Burke Worthen Published by AHLA

Christine Burke¬†Worthen, Of Counsel in our Fort Lauderdale office, was recently published by the American Health Lawyers Association (AHLA). Her article, “Legal Considerations in Negotiating ACO Contracts: The New World of Risk Assumption, Enterprise Data Analytics, and Population Health Management,” … Continue reading

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Key Payer and Provider Operational Steps

The Health Care Incentives Improvement Institute (HCI3) recently published the third in a series of annual issue briefs that have tracked the development and implementation of bundled payments in the public and private sectors. This installment provides a more in-depth … Continue reading

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CMS Issues Final Rule to Reduce Burdensome Medicare Regulatory Requirements

By: Christine Worthen The Centers for Medicare & Medicaid Services (CMS), recently issued a Final Rule which serves to reduce several burdensome requirements on hospitals and other health care providers. Among the changes, CMS will now permit flexibility in the … Continue reading

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CMS Releases Interim Financial Results for ACOs Enrolled in the Medicare Shared Savings Program

By: Fred Segal On January 30, 2014, the Centers for Medicare and Medicaid Services (“CMS”) released interim financial results of the first contract year of its Shared Savings Program (“MSSP”). According to these results, ACOs that began the MSSP in … Continue reading

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Medicare ACO’s: Compliance Checkup

By: Christine Burke Worthen With the prospect of an audit a reality for those participating in the Medicare Shared Savings Program or the Pioneer ACO Program, ACO’s should periodically review their compliance with the obligations set forth in the Final … Continue reading

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Pioneer ACOs, Year One: Mixed Results

By: Mike Segal Pioneer ACOs are the most sophisticated organizations that have entered into the CMS ACO project. Only 32 organizations were accepted in 2011 as Pioneer ACOs. Pioneers obtain the highest amount of ACO shared savings (60%), but also … Continue reading

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Government Targets EHR-Generated Upcoding

By: Vanessa Reynolds In response to reports of Medicare overbilling by providers, as recently described in The Center for Public Integrity’s “Cracking the Codes” series, the National Coordinator for Health Information Technology (NCHIT) is undertaking an investigation of the allegations. … Continue reading

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