Early ACOs Wont Benefit from Benchmark Changes
Susan HuntingtonIn response to complaints that current Medicare Shared Savings Program (MSSP) regulations penalize efficient providers, the Centers for Medicare & Medicaid Services (CMS) published a…
CMS Proposes New Physician Payment System
Eric FaderOn April 27, the Centers for Medicare & Medicaid Services (CMS) released a proposed rule that would establish a new physician reimbursement system for Medicare beginning…
More Changes to the MSSP ACO Rules
The Centers for Medicare & Medicaid Services (CMS) is expected to publish a proposed rule on February 3 that will incentivize accountable care organizations (ACOs)…
CMS Announces Next Generation ACOs for 2016
On January 11, the Centers for Medicare & Medicaid Services (CMS) published the list of 21 ACOs approved under its Next Generation Accountable Care Organization (NGACO)…
HHS Finalizes ACO Waivers
On October 29, the Centers for Medicare & Medicaid Services (CMS) published a final rule finalizing waivers from certain healthcare-related fraud laws for certain financial…
House Passes Bill Repealing Key ACA Provisions
On October 23, the U.S. House of Representatives passed a bill that would repeal key provisions of the Affordable Care Act, including the individual and employer…
ACO Fraud Waiver to Expire November 2; OMB Reviewing New Final Rule
In November 2011, the Centers for Medicare & Medicaid Services (CMS), along with the HHS Office of Inspector General, published an interim final rule regarding…
Susan Huntington to be Panelist at Managed Care Roundtable
Day Pitney healthcare lawyer Susan Huntington will be participating as a panelist at the upcoming Tenth Annual Managed Care/Pharmacy Benefits Management Roundtable sponsored by Willis…
CMS Releases 2014 ACO Results; Is Experience the Sole Determinant of ACOs Performance Results?
On August 25, the Centers for Medicare & Medicaid Services (CMS) released information on the 2014 quality and financial performance results for the accountable care…
Next Generation ACOs: Whose Information and Whose Responsibility?
Day Pitney healthcare attorney Susan Huntington was quoted extensively in the July 27th article Whose information and whose responsibility? in Healthcare Risk Management Review. The…