The American College of Physicians has responded to CMS’ proposed ACO rule, saying it supports the intent but is concerned that current requirements set the bar too high, according to an ACP news release. Specifically, the ACP expressed concern that…
Integration & Physician Issues
America's Health Insurance Plans, the national association for health insurers, has issued comments to the Federal Trade Commission and the Department of Justice regarding proposed antitrust regulation for accountable care organizations participating in the Medicare Shared Savings Plan.
The American Hospital Association says CMS' proposed approach to granting fraud and abuse waivers for organizations participating in the Medicare Shared Savings Program "falls short of what is needed" and could "chill the formation of ACOs," according to AHA comments…
The Medical Group Management Association has submitted its formal comments on the proposed rule for Medicare ACOs, expressing concern over a program that has “already established a bias against medical group participation,” according to an organization news release. In a…
Two physicians have proposed a novel care delivery model, called Community Health Center and Academic Medical Partnerships, to sustain community health centers and preserve access for Medicaid beneficiaries and other low-income patients, according to a New England Journal of Medicine…
Three healthcare experts weighed in on accountable care organizations during a panel session at the Becker’s Hospital Review Annual Meeting May 20. The panel included Martin Manning, president of Oak Brook, Ill.-based Advocate Physician Partners; Brian J. Silverstein, MD, senior…
The American Hospital Association has outlined its concerns to the Department of Justice, Federal Trade Commission and Centers for Medicare & Medicaid Services over the proposed antitrust regulations for accountable care organizations. The AHA delivered the following points to the…
While most physicians understand the need to integrate with hospitals, many of them seem ambivalent about taking the plunge. For example, a recent survey of physicians by PricewaterhouseCoopers found that just a little more than half of them wanted to…
TIME magazine has shared four commonly held concerns with accountable care organizations. 1. ACOs will measure processes but not hard outcomes. The list of measures required for Medicare rewards reflect aspects of quality care but may not actually measure how…
Southfield, Mich.-based Providence Hospital and Novi, Mich.-based Providence Park Hospital, both part of St. John Providence Health System, have entered into a 50-50 joint venture with 43 local surgeons to co-manage the hospitals' inpatient and outpatient surgery services, according to…