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Category Archives: Governance/Management

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Majority vs. Plurality Rule for Beneficiary Assignment

Posted in Accountable Care Organizations, Governance/Management

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

Something Old, Something New, Something Borrowed….

Posted in Accountable Care Organizations, Governance/Management

For 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 Compliance

The 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