Discussions among physicians and physician groups contemplating the formation of an ACO can raise concerns under antitrust laws, particularly when those physicians or physician groups are considered competitors in the market. In the absence of contradictory guidance in the forthcoming ACO rules, it is important that physicians engaging in such discussions abide by the following … Continue Reading
On March 15, Ohio Governor John Kasich announced his proposal to balance Ohio’s budget (the Blue Book). Because the Ohio budget is in large part reserved for Medicaid, health care changes play a significant role in the new budget plan. Governor Kasich’s budget proposal included establishing pediatric accountable care organizations (Pediatric ACOs). The following discussion outlines the … Continue Reading
With the issuance of proposed rules for accountable care organizations (ACOs) just days away (CMS Deputy Director Marilyn Tavenner has been quoted as saying they’ll be out by April 1, 2011), many in the healthcare industry are beginning to wonder how ACOs will pay for themselves. Drs. Trent Haywood and Keith Kosel have predicted that … Continue Reading
