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Showing 4 posts in Accountable Care.

On Friday, December 21, 2018, CMS issued a final rule, referred to as “Pathways for Success,” that makes significant changes the Medicare Shared Savings Program. Issued just before the holidays, various stakeholders will likely have varying opinions about whether this final rule constituted an early gift or lump of coal. Among other things, the final rule overhauls the current track system for participating accountable care organizations, or ACOs, and requires a more rapid transition to assumption of downside risk. The two new tracks available to participating ACOs will go into effect for agreement periods commencing on or after July 1, 2019. Read More ›

Through the MassHealth Payment and Care Delivery Innovations (PCDI), MassHealth is launching a system of provider-led accountable care organizations (ACOs) that will coordinate care for MassHealth members with a particular emphasis on primary care and a transition to value-based reimbursement.  Read More ›

Massachusetts senators recently proposed a health care reform bill intended to reform the Commonwealth's health care system by controlling costs while improving outcomes. Read More ›

In an important decision for ACOs and other hospital-physician integrated delivery systems, the U.S. Court of Appeals for the Ninth Circuit recently upheld a district court’s judgment in favor of the Federal Trade Commission (FTC), which held that the acquisition in December 2012 by St. Luke’s Health System in Idaho of Saltzer Medical Group, a multi- specialty physician group, violated federal antitrust law, specifically Section 7 of the Clayton Act. St. Alphonsus Medical Center – Nampa, Inc. v. St. Luke’s Health System, Ltd., No. 14-35 M3 (Ninth Cir. Feb. 10, 2015). Read More ›

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