The Centers for Medicare & Medicaid Services will hold a conference call June 7 to review its request for applications for the Pioneer Accountable Care Organization Model. The model, which was introduced last week, is designed for advanced organizations ready…
Integration & Physician Issues
Stating that the initial ACO opportunity should not be for everybody, an article published in the New England Journal of Medicine says CMS shouldn’t be too quick to lower the ACO bar in response to stakeholder comments on the controversial…
University General Health System, based in Houston, has reported $15.7 million in first quarter 2011 net revenues, indicating a 50 percent increase over the first quarter of 2010, according to a health system news release.
The Centers for Medicare & Medicaid Services has released a factsheet on accountable care organizations for rural providers, sharing four specific provisions intended to increase rural participation in the Medicare Shared Savings program. The following provisions are mentioned in the…
The American Academy of Family Physicians has submitted its response to CMS’ proposed rule for Medicare accountable care organizations, saying the program needs to be improved to ensure family physicians can play an integral role in ACOs, according to an…
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Citing “serious concerns,” seven members of the Senate Finance Committee have asked CMS to withdraw the proposed regulation for Medicare accountable care organizations, according to an AHA News Now report. Sens. Tom Coburn (R-OK), Jon Kyl (R-AZ), Mike Crapo (R-ID),…
The Federal Trade Commission has said consumers are likely to be harmed if Texas Senate Bill 8, which would establish ACO-like collaboratives to move healthcare in the state toward pay-for-performance, is enacted, according to an FTC news release.
Hospitals pursuing financial relationships with physicians must be focused on legal compliance. The following 13 questions can be used as barometers to help assess legal compliance from a Stark Act, Anti-Kickback and Tax Exempt entity perspective. The core laws apply…
Like many other hospitals, we had been seriously considering implementing an accountable care organization. It seemed like the right thing to do to meet the needs of patients. The purpose was to make healthcare more efficient by integrating hospital care…
The following article is written by Michael McKevitt, senior vice president, business development, for Regent Surgical Health. The ambulatory surgery center sector of the healthcare industry is showing signs of maturity. Growth in the number of new centers, overall…