Pathways to Success: Medicare Shared Savings Program Overhaul and Changes to ACOs
Assumption of Risk, Benchmark Methodology, Expanded Telehealth Services, SNF Waivers
Recording of a 90-minute CLE webinar with Q&A
This CLE course will guide healthcare counsel on the Centers for Medicare & Medicaid Services (CMS) final rule. The panel will examine the redesigned Medicare Shared Savings Program (MSSP) for Accountable Care Organizations (ACOs), the background behind the redesign, the impact on ACOs, the new participation options under the MSSP, changes to the benchmark methodology, new consequences for ACOs terminating early and those rejoining the MSSP, changes to the repayment mechanism, and risk adjustment. The panel will also address the expanded use of telehealth services and the three-day acute-care stay for skilled nursing facility (SNF) admission waivers.
Outline
- CMS final rule and Pathways to Success program
- Redesign of MSSP
- Impact on ACOs
- Participation options for ACOs
- Benchmark methodology
- Changes for those terminating participation early and for participants rejoining
- Expansion of waivers for telehealth services, three-day acute stay, beneficiary inducements
- Participation considerations
Benefits
The panel will review these and other key issues:
- How do the new basic and enhanced tracks impact ACO risks?
- What changes does the final rule make to benchmark methodology? To beneficiary incentive programs?
- What steps should healthcare providers take in light of the CMS final rule overhaul of the MSSP?
Faculty
Alexis Finkelberg Bortniker
Partner
Foley & Lardner
Ms. Bortniker is a member of the firm’s Healthcare Industry Team. Her practice focuses on transactional and... | Read More
Ms. Bortniker is a member of the firm’s Healthcare Industry Team. Her practice focuses on transactional and regulatory matters with an emphasis on counseling health systems, hospitals, and other providers in managed care and physician contracting. Ms. Bortniker has experience analyzing and restructuring complicated physician-hospital relationships to ensure compliance from Stark and anti-kickback perspective. In addition, she counsels healthcare clients in general corporate and regulatory compliance matters, including employment negotiations, HIPAA compliance, reporting and disclosure requirements and marketing compliance.
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C. Frederick Geilfuss, II
Partner
Foley & Lardner
Mr. Geilfuss counsels healthcare providers on regulatory and business matters. He is experienced in healthcare... | Read More
Mr. Geilfuss counsels healthcare providers on regulatory and business matters. He is experienced in healthcare acquisitions, integrated delivery service issues, defense of providers against government enforcement actions, finance, administrative and medical staff issues, physician recruitment, certificates of need and cost containment regulations, insurance, and fraud and abuse matters.
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