Tag Archives: Medicare Shared Savings Program

The Next Generation ACO Model – CMS’s Most Crucial Experiment Yet?

By: Fred Segal After its first two “performance years,” the Medicare Shared Savings Program (MSSP), established by the Affordable Care Act, and launched in 2012 by Centers for Medicare and Medicaid Services’ (CMS) Center for Medicare & Medicaid Innovation, has … 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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NEW CMS ACO Program Announced

The Centers for Medicare & Medicaid Services (CMS) today announced the availability of a new initiative for Accountable Care Organizations (ACOs) participating in the Medicare Shared Savings Program. The announcement can be accessed at http://innovation.cms.gov/initiatives/ACO-Investment-Model/. Links to additional information are … 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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Are You Overlooking the Ability to Use an ACO Waiver?

By: Mike Segal I believe that many ACOs may be overlooking the ability to enter, pursuant to an ACO waiver (a “Waiver”), into certain transactions that might be beneficial for the ACO but could implicate the Stark or anti-kickback laws, … Continue reading

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Four Broad and Cassel Attorneys Pen Chapter in National Health Law Book

Mike Segal, Heather S. Miller, Stephen H. Siegel and Fred Segal of Broad and Cassel’s Health Law Practice Group collaborated on a chapter for the 2013 Health Law and Compliance Update, which was published this month by Aspen Publishers. The … Continue reading

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Deciphering ACO Exclusivity for Specialist Physicians

By Stephen Siegel and Fred Segal On November 3, 2011, the Centers for Medicare & Medicaid Services (CMS) published the “Final Rule” setting forth the parameters for Accountable Care Organizations (ACOs) to participate in Medicare Shared Savings Program (MSSP). One … 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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