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@Regulatory: June 2012

Accountable Care Organizations – Incentivizing the shared savings plan


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@Regulatory covers the latest developments across the health care provider, health plan and life sciences industries.

The Affordable Care Act was signed into law on March 29, 2010, as part of a collection of enactments that included provisions designed to improve the quality of care through innovation and improved payment models. Included within these provisions is the Medicare Shared Savings Program, which is intended to encourage the development of Accountable Care Organizations (ACOs). The Notice of Intent for claiming ACO status in 2013 for health care organizations was due to the Centers for Medicare and Medicaid Services (CMS) in writing by June 15, 2012.

Establishing an ACO is a decision that should be carefully considered for any practice, in terms of startup and annual costs, the required quality metrics, the ability to generate savings with the Medicare FFS population, and examining the overall ROI. This article reflects on the quality and financing aspects of becoming an ACO, as well as provides insights into expectations for transitioning to ACO status.

Please click on the attached PDF for more information.

For previous issues of the newsletter, visit the archive page.

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