Medicare Shared Savings Program

Navigating Final Regulations for Accountable Care Organizations

Final regs released Oct. 20

Recording of a 90-minute CLE webinar with Q&A


Conducted on Tuesday, November 22, 2011

Recorded event now available

or call 1-800-926-7926
Program Materials

This CLE webinar will prepare counsel to healthcare providers to participate in the Medicare shared savings program and navigate the requirements under the final ACO regulations.

Description

On Oct. 20, 2011, CMS issued long-awaited final regulations regarding the Medicare Shared Savings Program, which encourages healthcare providers to form accountable care organizations (ACOs). The final regs contain major changes from the draft version released Mar. 2011 that drew over 1,300 comments.

ACOs coordinate services for a defined patient population of Medicare beneficiaries attributed to them based on the patients’ utilization of primary care services. An ACO will receive a portion of Medicare savings based on the total cost of the defined population's care, if it meets quality performance measures.

The final regulations permit an ACO to elect to participate for the entire 3-year term without having any liability to share in losses, decrease the performance measures for ACOs from 65 quality measures to 33 quality measures, and increase ACO flexibility for meeting governance and other requirements.

Listen as our authoritative panel of healthcare attorneys examines the final regulations for the Medicare shared savings program, discussing the many changes from the draft provisions, and outlines best practices both for navigating the final rules and meeting the challenges of participating in the shared savings program.

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Outline

  1. Organizational requirements
    1. Eligibility
    2. Organizational structures
    3. Governance
  2. Assignment of patient population
  3. Accountability
    1. Participation agreement
    2. Quality performance measures
    3. Shared savings models

Benefits

The panel will review these and other key questions:

  • What are the key components of CMS' final regulations?
  • How do the final regulations differ from the drafts regulations?
  • What factors should healthcare providers consider when assessing participation in the Medicare Shared Savings program?

Following the speaker presentations, you'll have an opportunity to get answers to your specific questions during the interactive Q&A.

Faculty

David A. Manko
David A. Manko

Partner
Rivkin Radler

He focuses on healthcare regulatory and transactional matters. He has extensive experience with developing integrated...  |  Read More

George Choriatis
George Choriatis

Partner
Rivkin Radler

He focuses on healthcare regulatory and corporate and commercial matters, including hospital-physician relationships;...  |  Read More

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