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Integration & Physician Issues

The following information pertains to the first 32 CMS Pioneer Accountable Care Organizations in 2011. Data was provided by Stratasan and published in a Jarrard Phillips Cate & Hancock blog post.

Four legal issues carry the most concern around accountable care organizations: Stark Law, the federal Antikickback Statute, tax-exempt status and antitrust law. These laws are structured to prevent fraud and abuse of federal healthcare programs, but could potentially impede ACO…

The healthcare industry has reached a point where all four of the key constituent groups (providers, physicians, payors and patients) have significant economic concerns — providers and physicians about their revenues, and payors and patients about the affordability of care.…

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Steward Health Care System in Boston plans to affiliate with Hawthorn Medical Associates, a New Bedford, Mass.-based physician group that is currently affiliated with Partners Community Healthcare, a physician affiliate of Partners HealthCare, according to a Boston Globe report.

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