The Federal Trade Commission and the Antitrust Division of the Department of Justice will co-host a second workshop in the series “Examining Health Care Competition” on February 24-25, 2015, in Washington, D.C. The workshop will look at recent developments related to health care provider organization and …
CMS Releases Proposed Rule on Accountable Care Organizations
March 31, 2011 Leave a Comment
After much anticipation, several federal agencies released documents today addressing legal issues regarding Accountable Care Organizations (ACOs). Significantly, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule that would establish ACOs under the Medicare Shared Savings Program …
ACO Comments and Guidelines Reach a Fevered Pitch; More to Follow in December
December 6, 2010 Leave a Comment
The rallying call behind retooling the United States health care system has been to reduce health care costs while improving quality and access. A primary vehicle championed by Congress, States, third-party payors and others to achieve these goals is the Accountable Care Organization (ACO). While the use of ACOs …
ACOs: CMS Wants Your Comments
November 19, 2010 Leave a Comment
On November 17, 2010 the Centers for Medicare and Medicaid Services (CMS) requested additional stakeholder input regarding policies and standards that will apply to accountable care organizations (ACOs). The federal register notice focused on initiatives required by the Affordable Care Act (ACA), including the …
NCQA Issues Draft Criteria for ACOs, Seeks Public Comments
November 4, 2010 Leave a Comment
The National Committee for Quality Assurance (NCQA) has published draft criteria for evaluating Accountable Care Organizations (ACOs) participating in shared savings programs under the Patient Protection and Affordable Care Act (PPACA). Under Section 3022 of PPACA, groups of providers who take responsibility for …
New Horizontal Merger Guidelines and Health Care Reform
September 14, 2010 Leave a Comment
Apart from other impacts, the Patient Protection and Affordable Care Act (PPACA) will likely spur health care consolidation involving many hospitals, physicians and other industry stakeholders. Regardless of the form of combination pursued, antitrust compliance variables—including post-closing market …