ACO Update: Final Rules And "Pioneers"
PRE-RECORDED AUDIO CONFERENCE
Date: Thursday, February 23, 2012
Time: Request for replay on any day
Length: 60 Minutes
Speaker:Wayne J. Miller, Esq.
CMS Issues Final Accountable Care Organizations Rule
The final rules issued by Centre of Medicare & Medicaid Services (CMS) have provisions for implementing the “Shared Savings” program scheduled to start in 2012. This program awards accountable care organizations (ACOs) - integrated provider networks - with a portion of savings generated from more proficient care of assigned fee for service Medicare patients. Lately, CMS has also declared the first group of “pioneer” ACOs which will be entitled to a an increased share of savings and also an increased risk if there are inadequate cost savings, as compared to other ACOs.
Now, Medicare has made several concessions to garner more interest among both small and large provider groups. Some changes are good and favorable in terms of lessening the financial and administrative burden of forming an ACO. There are additional changes which will add more operational flexibility, like permitting other physician specialties to have greater effect on ACO performance. With these positive changes, it looks more feasible to either start a group from beginning or modify prevailing arrangements to qualify for ACO status.
Even though “pioneer” organizations are subject to somewhat different requirements, one can learn much from the initial selection process.
Be a part of this 60 minute enlightening event where our expert speaker Wayne J. Miller will cover the following:
The kinds of provider entities that can be ACOs
Secrets to success or rejection
What are the minimum organizational, financial requirements
ACO’s : Roles of primary as well as specialist providers
Getting enrollees and keeping them: what’s allowed and what’s not
Stark law issues: Addressing fraud and abuse
Calculating the benchmark and savings
Sign Up now! Benefit from our Expert speaker Wayne J. Miller who will elucidate the characteristics of successful applicants that provides insight into what Medicare is seeking. And the submissions by unsuccessful applicants that highlights the hurdles that need to be overcome to be chosen.
Wayne J. Miller
Wayne J. Miller, Esq., is a founding partner of the Compliance Law Group, Los Angeles, a law firm focused on health care industry legal compliance for clients nationwide. Wayne has practiced healthcare business and regulatory law throughout his 30-year career. His firm represents a wide range of healthcare industry clients throughout the nation. He is a frequent speaker for The Coding Institute national teleconferences on healthcare reimbursement, transactional and regulatory issues.