The Affordable Care Act requires the assignment of Medicare beneficiaries based on which physician provides a beneficiary’s primary care services, and delegates the task of prescribing the assignment methodology to the Secretary of Health and Human Services. After considering a majority rule and a plurality rule, CMS believes that the latter should be the governing… Continue Reading
Category Archives: Governance/Management
Subscribe to Governance/Management RSS FeedSomething Old, Something New, Something Borrowed….
Posted in Accountable Care Organizations, Governance/ManagementFor many of us still digesting last week’s ACO manifesto, the first question we must answer is what kind of organization should seek to qualify as an ACO? “In order to implement the statutory requirements that ACOs have a shared governance mechanism and a formal legal structure for receiving and distributing shared payments, we (CMS)… Continue Reading
ACO Rules – Initial Observations
Posted in Accountable Care Organizations, Governance/Management, Regulatory ComplianceThe proposed CMS rules for accountable care organizations have only been out a few hours and even the speediest readers are still plowing through them, but a few initial observations are in order: CMS is admitting it needs more than the usual amount of public comment to craft final rules. Perhaps this was intentional but… Continue Reading