Tag archives: accountable care organizations

A first look at the healthcare industry under President Trump

By Thomas Dowdell (US) on November 14, 2016 Posted in News from DC, Regulatory

The “100 Day Action Plan” of President-elect Donald Trump promised to bring broad and sweeping change to the current laws governing the healthcare industry in the US Specifically, Trump’s 100 Day Action Plan called for the full repeal of the Patient Protection and Affordable Care Act (“ACA”) and its replacement with health savings accounts, cross-states … Continue reading

CMS revisits ACO benchmarking

By Jim Wiehl (US) and Joseph Keillor (US) on February 1, 2016 Posted in General, Regulatory

CMS issued a proposed rule on January 28, 2016 that would significantly overhaul benchmark calculations for Medicare Shared Savings Program Accountable Care Organizations (MSSP ACOs), which may increase the long-term attractiveness of the MSSP for high-performing ACOs.… Continue reading

High-performing or new MSSP ACOS: Thoughts on the potential impact of CMS’s new Proposed Rule

By Chris Kanagawa (US) on December 31, 2014 Posted in Regulatory

As we briefed in early December, CMS published a proposed rule (Proposed Rule), at 79 Fed. Reg. 72760, containing many changes to the Medicare Shared Savings Program (MSSP) that, if adopted, will have a significant impact on existing accountable care organizations (ACOs) and those organized in the future. CMS has requested comments on many aspects … Continue reading

Proposed ACO rule would provide more flexibility, incentivize performance-based risk

By Thomas Dowdell (US), Mark Faccenda (US) and Chris Kanagawa (US) on December 2, 2014 Posted in Regulatory

On December 1, 2014, CMS issued a proposed rule that would make certain changes to the regulations governing the Medicare Shared Savings Program (Shared Savings Program) that were originally promulgated in November 2011. Congress in Section 3022 of the Affordable Care Act established the Shared Savings Program, which incentivizes hospitals, physicians, and other providers to … Continue reading

MedPAC report addresses issues for Accountable Care Organization program success

By Mark Faccenda (US) on June 25, 2014 Posted in Regulatory

On June 16, 2014, the Medicare Payment Advisory Commission (“MedPAC”) issued a report proposing five changes to legislation or Medicare regulations to improve the Medicare Shared Savings Program. MedPAC proposed, in the near term, the Centers for Medicare and Medicaid Services (“CMS”) should improve the methods through which beneficiaries are attributed to accountable care organizations … Continue reading

CMS announces Medicare’s Accountable Care Initiatives save US$380M

By on February 4, 2014 Posted in Regulatory

On January 30, CMS released interim financial results for its Medicare Accountable Care Organizations (“ACOs”), the Physician Group Practice Demonstration (“PGPD”), and the Bundled Payments for Care Improvement (“BPCI”) Initiatives. Savings from the Medicare ACOs exceeded $380 million. The interim financial results released show that nearly half (54/114) of the ACOs that started the program … Continue reading