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Medicare ACOs: The Integration Of Financial And Clinical Integration


April 11th, 2012
by Douglas Hastings

Editor’s note: For more on the first round of Medicare Shared Savings Program participants and payment and delivery system reform, see Steven Lieberman’s post. Back in 1996, the Federal Trade Commission and Department of Justice, in providing antitrust guidance for multi-provider networks, considered financial integration and clinical integration as separate pathways for such networks to... Read the rest of this entry »

Pioneer ACOs: Another Step In The Right Direction


December 22nd, 2011
by Douglas Hastings

Editor’s note: See additional posts discussing Pioneer accountable care organizations by Steven Lieberman and Debra Ness and William Kramer. With the announcement by the Centers for Medicare and Medicaid Services on December 19 of the Pioneer accountable care organization (ACO) model participants, CMS and its Centers for Medicare and Medicaid Innovation (CMMI) conclude a year... Read the rest of this entry »

Value-Based Payment, Accountable Care, And The ACO Final Rule: Are We Making Progress?


October 22nd, 2011
by Douglas Hastings

Editor’s note: See additional posts on the Medicare Shared Savings Program Final Rule  and related delivery system and payment reform initiatives by Debra Ness and William Kramer, Lawrence Casalino and Stephen Shortell,  Mark McClellan and Elliott Fisher, and Don Berwick and Richard Gilfillan. To answer the question in my title, I think we are making progress, and... Read the rest of this entry »

Pioneer ACOs: Surging To A New Level Of Integration?


May 25th, 2011
by Douglas Hastings

Editor’s Note: The post below discusses the recent announcement regarding accountable care organizations by the Center For Medicare and Medicaid Innovation. This is also the topic of another post, by Steve Lieberman, published today on Health Affairs Blog. In a speech on February 1, among other comments, Dr. Don Berwick, the Administrator for the Centers... Read the rest of this entry »

The Medicare ACO Proposed Rule: Legal Structure, Governance, And Regulatory Sections


April 5th, 2011
by Douglas Hastings

Editor’s Note: This post, by Douglas Hastings, is part of a series of Health Affairs Blog posts examining the proposed rule implementing the Medicare Shared Savings Program, issued March 31 by the Centers for Medicare and Medicaid Services. Hastings’ post offers a first look at the rule’s legal structure, governance, and regulatory sections. You can... Read the rest of this entry »

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