R. Christopher Raphaely on ACOs

CMS Releases Final ACO Regulations

This morning CMS released a final rule regarding its most popular program for accountable care organizations (ACOs), the Medicare Shared Savings Programs. The final rule is based on the proposed rule for the program that was...more

12/24/2018 / ACOs , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Medicare Shared Savings Program , Proposed Rules

The Medicare Shared Savings Program and the New Glide Path to Risk

With the first class of 82 Accountable Care Organizations (ACO) in the Medicare Shared Savings Program (MSSP) awaiting word on what the future holds for their participation in the program after January 1, 2019, the Centers...more

8/24/2018 / ACOs , Centers for Medicare & Medicaid Services (CMS) , Health Care Providers , Medicare , Medicare Shared Savings Program

CMS’ Long Awaited Final ACO Regulations for 2016 and Beyond: Major New Options and Plenty of Fine Tuning

Today, the Centers for Medicare and Medicaid Services (“CMS”) will publish final regulations (“Final Rule”) for its flagship pay-for-performance program, the Medicare Shared Savings Program, in the Federal Register. The Final...more

6/9/2015 / ACOs , Centers for Medicare & Medicaid Services (CMS) , Final Rules , Medicare Shared Savings Program , Pay-for-Performance

Next Generation ACOs: CMMI Doubles Down on the Two-Sided Risk ACO Model

While one part of the Affordable Care Act, exchange subsidies, hangs in the balance with the Supreme Court’s upcoming decision in King v Burwell, CMS is moving forward aggressively with the evolution of a less controversial...more

3/18/2015 / ACOs , Affordable Care Act , CMMI , Healthcare , Medicare , Medicare Shared Savings Program

CMS Announces Latest Group Of MSSP ACOs And May Allow ACOs To Remain As “Upside-Risk Only” Longer

December has been a busy month for CMS with respect to the Medicare Shared Savings Program (“MSSP”). Last week CMS announced that eighty-nine (89) more ACOs would begin participating in the MSSP starting in 2015, bringing the...more

12/30/2014 / ACOs , Centers for Medicare & Medicaid Services (CMS) , Healthcare , Medicare Shared Savings Program

CMS Releases New Proposed Medicare Shared Savings Program Regulations

The Centers for Medicare and Medicaid Services (“CMS”) released proposed regulations for the Medicare Shared Savings Program (“MSSP”) on Monday December 1, 2014. The proposed regulations are scheduled to be published in the...more

12/4/2014 / ACOs , Centers for Medicare & Medicaid Services (CMS) , Healthcare , Medicare , Medicare Shared Savings Program , Proposed Regulation

IRS Releases Guidance on Private Business Use, and ACOs and Management Contracts

On October 25, 2014, the Internal Revenue Service (the IRS) released Notice 2014-67 that provides interim guidance on (i) participation in the Medicare Shared Savings Program through an accountable care organization (ACO) and...more

11/5/2014 / ACOs , Centers for Medicare & Medicaid Services (CMS) , Healthcare , IRS , Medicare , Medicare Shared Savings Program

CMS Announces Program to Fund ACO Growth, Extends Fraud and Abuse Waivers

The Centers for Medicare & Medicaid Services (“CMS”) announced a new initiative, the ACO Investment Model, on October 15, 2014. Under the model, ACOs which are made up of “providers [who] lack adequate access to … capital”...more

10/17/2014 / ACOs , Centers for Medicare & Medicaid Services (CMS) , Fraud and Abuse , Healthcare , Infrastructure , Waivers

CMS and ACOs: A Busy Summer and a Busier Fall

It has been a busy summer so far for the Centers for Medicare & Medicaid Services (CMS) with respect to Accountable Care Organizations (ACOs), as the agency has proposed altering the quality reporting measures under the...more

8/6/2014 / ACOs , Centers for Medicare & Medicaid Services (CMS) , Healthcare , Medicare Shared Savings Program , OMB

ACOs And Pay for Value … About the Data

It has been over three years since the Centers for Medicare and Medicaid Services (CMS) announced its proposed rule and guidance on the development and implementation of Accountable Care Organizations. About four million...more

7/25/2014 / ACOs , Centers for Medicare & Medicaid Services (CMS) , Health Insurance Portability and Accountability Act (HIPAA) , Healthcare , Medicaid , Medicare , Patient Privacy Rights , Risk Assessment , Risk Management , Rulemaking Process

R. Christopher Raphaely

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