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CMS Releases MSSP and Pioneer ACO Data on Shared Savings and Losses – Where Do We Go From Here?
September 23, 2014 | Blog
On September 16, 2014, the Centers for Medicare & Medicaid Services (CMS) announced key shared savings and losses results of Accountable Care Organizations (ACOs) that began participating in the Medicare Shared Savings Program (MSSP) or the Pioneer ACO Program (PACO) in 2012 and 2013.
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Five Key Decisions for ACOs Looking to Participate in the 2015 MSSP
March 28, 2014 | Blog
The Centers for Medicare & Medicaid Services (CMS) has announced the upcoming deadlines for the third round of new applications to the Medicare Shared Savings Program (MSSP).
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CMS Expands Payment Reform to Outpatient Care in New RFI
February 12, 2014 | Blog
Citing the need to complement a portfolio of pilot projects that focus mostly on primary care and the inpatient setting, CMS released a Request for Information (RFI) on February 11th, seeking input on potential payment and care delivery models that focus on outpatient specialty care and complex/chronic disease management care.
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ACOs Show Some Savings Potential: Legislative and Regulatory Initiatives Ramping Up
February 4, 2014 | Blog
The evolution of Accountable Care Organizations (ACOs) will be a big factor this year as the Obama Administration continues to focus on curbing health care spending and Congress ramps up its efforts to address physician payment and delivery system reform.
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CMS Announces 123 New ACOs; Doubles Down on Pioneer ACO Program
December 27, 2013 | Blog
Accountable Care Organizations (ACOs) continue to figure big in CMS’s health care reform agenda. On December 20th, the agency’s Innovation Center published a Request for Information (Pioneer RFI) seeking input on how to create the next generation of the Pioneer ACO program that began two years ago.
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HIPAA Marketing Rules Prompt First Amendment Challenge
September 10, 2013 | Blog | By Theresa Carnegie
In what is believed to be the first legal challenge to the HIPAA Omnibus Rule (the “Rule”), a vendor of prescription drug adherence services is seeking an injunction to block certain provisions of the Rule related to drug refill reminders.
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First Year Analysis - The Pioneer ACO Program Wins Some, Loses Some
July 18, 2013 | Blog
This week, CMS announced the shared savings results and the clinical achievements from the first year of the Pioneer ACO Program.
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CMS Sets Dates for Accepting Another Round of MSSP ACO Applications
April 3, 2013 | Blog
The Centers for Medicare & Medicaid Services (CMS) is preparing to open its doors for another round of Accountable Care Organizations (ACOs) to participate in the Medicare Shared Savings Program (MSSP).
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Medicare Shared Savings Program Grows by 106 ACOs in 2013
January 11, 2013 | Blog
Yesterday the Centers for Medicare & Medicaid Services formally announced the 106 new Accountable Care Organizations (ACOs) participating in the 2013 Medicare Shared Savings Program (MSSP) cycle. CMS also announced that 15 of the new ACOs qualified to participate in the Advance Payment ACO Model.
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CMS Selects 27 ACOs
April 13, 2012 | Blog | By Brian Dunphy
In another step toward implementation of Accountable Care Organizations (ACOs), on April 10, 2012, the Centers for Medicare & Medicaid Services (CMS) selected 27 ACOs in 18 states to participate in the Medicare Shared Savings Program (Shared Savings Program).
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CMS Posts MLR Guidance: Payments to Entities such as IPAs, PHOs, and ACOs
February 12, 2012 | Blog | By Daria Niewenhous
CMS posted additional sub-regulatory guidance regarding the Medicare Loss Ratio (MLR) under Section 2718 of the Public Health Service Act, as added by the Affordable Care Act (ACA).
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Viewpoint Editors
Karen S. Lovitch
Chair, Health Law Practice & Co-Chair, Health Care Enforcement Defense Practice
Joanne S. Hawana
Member
Rachel E. Yount
Of Counsel
Pat G. Ouellette
Associate
Stephnie A. John
Associate
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