Tag Archives: MSSP

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

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Do Not Expect the Pace of Change to Slow in 2016

By: Stephen Siegel This year  has been a challenging one for healthcare providers. Just to recall, a few of the challenges in 2015 were: the final implementation of ICD-10; two multi-million dollar Civil False Claims settlements involving physician-hospital relationships in … Continue reading

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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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Medicare Announces New ACO Initiative: The Next Generation ACO Model

By: Fred Segal On March 10, 2015, CMS announced that it will offer a new ACO Model in the near future:  The Next Generation (Next Generation) ACO Model.  The Next Generation Model will be separate and apart from the Pioneer … 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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CMS Unveils New ACO Investment Model to Support Healthcare Coordination

By: McKenzie Livingston The Centers for Medicare & Medical Services (CMS) encourages healthcare providers to participate in Accountable Care Organizations (ACOs) through the Medicare Shared Savings Program (MSSP), which creates financial incentives for ACOs that lower growth in health care … 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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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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