CMS Proposals for Accountable Care Organizations Are Described As Unworkable By Healthcare Organizations
Today’s Associated Press article contains comments from the medical community that the Obama administration’s proposals for Accountable Care Organizations (ACOs) are unworkable. The American Medical Group Association, which represents entities such as the Mayo Clinic, the Geisinger Health System, the Cleveland Clinic, and Intermountain Health Care (among others) wrote to CMS this week and indicated […]
Regulations Regarding Accountable Care Organizations
The proposed regulations in regard to Medicare Accountable Care Organizations (ACOs) have been issued by the Centers for Medicare and Medicaid Services (CMS). The position paper of the Internal Revenue Service (IRS) regarding ACOs, the combined position paper of the Federal Trade Commission and the Justice Department in regard to ACOs, and the combined notice […]
CMS Concern Regarding ACOs
The Congressional Quarterly Health Law Daily of May 6, 2011 quoted CMS Administrator Dr. Donald M. Berwick as stating, in regard to the comments regarding the proposed Accountable Care Organizations, “. . .that the Agency is interested in working with providers and wants the program to live up to the potential of transforming medical care,” […]
Medicare Balance Billing
A bill was introduced in the House of Representatives last Wednesday, which would permit physicians to balance bill Medicare patients, between what Medicare will pay and what the physician’s charges are for his services. This legislation is being considered by the House Energy and Commerce Committee, as a potential solution to the issue regarding Medicare […]
Health Centers
The Centers for Medicare and Medicaid Services, as you will see in the proposed regulations published Friday in the Federal Register, is attempting to establish criteria for assuring access to Medicaid services. This proposed regulation has already drawn comments from various state officials as reported on Tuesday, May 3, 2011 in the New York Times. […]
IRS Issues Notice Regarding ACOs
As mentioned in our blog post yesterday, the IRS has published notice 2011-20 soliciting public input on whether existing guidance issued by the IRS is adequate for tax-exempt organizations planning to participate in the Medicare shared savings program through an accountable care organization (ACO). If existing guidance is not sufficient, the IRS is seeking comments […]
Federal Agencies Issue Guidance on ACOs
Today, the Centers for Medicare and Medicaid Services (“CMS”), the U.S. Department of Health and Human Services Office of Inspector General (“OIG”), the Federal Trade Commission and the Department of Justice, and the Internal Revenue Service issued guidance under the Patient Protection and Affordable Care Act (Affordable Care Act) regarding accountable care organizations participating in […]
CMS Proposed Regulations
This morning, the Centers for Medicare and Medicaid Services (“CMS”) issued a long-awaited proposed rule governing accountable care organizations (“ACO’s”). The proposed rule outlines the requirements for both establishing an ACO and for participation in the shared savings program authorized by the Accountable Care Act. The regulations set forth requirements for (among other things) eligibility; […]
NJ Hospital Licensure Regulations Updated
The New Jersey Department of Health and Senior Services recently adopted amendments to the existing hospital licensure regulations. One of the more controversial amendments deals with the expansion of the scope of practice for advanced practice nurses specializing in anesthesia. Under the original regulatory proposal, advanced practice nurses specializing in anesthesia were included within the […]
Final Medicare/Medicaid Enrollment and Screening Requirement Regulations Adopted
In a November 29, 2010 blog post, we reported that the Centers for Medicare and Medicaid services had published proposed regulations which would modify Medicare/Medicaid provider screening and enrollment requirements. The regulations have now been adopted as final, and will go into effect March 25, 2011.
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