On November 9, 2011, we will be hosting a new Roundtable focused on the Final Shared Savings Program Rule for Accountable Care Organizations (ACOs) issued by the Centers for Medicare and Medicaid Services. The Roundtable also will cover the OIG/CMS notice regarding Waivers for certain ACO financial arrangements under the federal Stark, Anti-Kickback and Civil Money Penalties Laws, and ACO-related announcements by the Federal Trade Commission, Department of Justice and the Internal Revenue Service.
The Roundtable will cover the following topics regarding the Final ACO Shared Savings Program Rule and its implications:
- Overview of the significant structural and operational requirements to qualify as an ACO under the Shared Savings Program, and a summary of the significant differences between the Final Rule and the Proposed Rule.
- Explanation of how the Final Rule and ACO Waivers address key issues under the Shared Savings Program, such as:
- Assignment of Medicare beneficiaries to an ACO
- Quality measures to be met by an ACO
- Savings thresholds required for an ACO to qualify for shared savings payments
- Calculation of shared savings payable to an ACO under the “one-sided model” (i.e., sharing of savings only) and the “two-sided model” (i.e., sharing of savings and losses)
- Calculation of loss sharing by an ACO under the “two-sided model”
- The scope and qualification requirements for the five ACO-related Waivers pertaining to the federal Stark and Anti-Kickback Laws and the Civil Money Penalties Law provisions concerning gainsharing arrangements
- Overview of the FTC/DOJ antitrust safe harbor and expedited review process for ACOs.
- Points for consideration by interested providers in deciding whether to pursue development of an ACO for participation in the Shared Savings Program.
- Comparison of the two ACO models under the Shared Savings Program with the Pioneer ACO model.
- Explanation of the Advanced Payment option available for certain ACOs participating in the Shared Savings Program.
In-person attendance is limited, so please register soon to reserve seats for your organization. You do not have to be a client to attend, and there is no charge. We also are offering a Webinar option for this Roundtable.
You can register to attend in person or by Webinar by clicking the Register link at the bottom of this page. For full participation, including an ability to hear any attendee discussion well, we recommend in-person attendance. Lunch will be provided between 12:00 p.m. and 1:00 p.m. if you would like to arrive early for that. We hope you will be able to join us.
General information on our practice is available at www.kslaw.com/health and in our electronic publications Serving the Healthcare Industry and Healthcare Reform Task Force. If you would like to be included on our regular healthcare practice mailing list to receive notices of other events and written updates, you can be added by submitting your full contact information to firstname.lastname@example.org.
Offices of King & Spalding
1180 Peachtree Street, NE / 16th Floor
Atlanta, GA 30309
If you have questions concerning this Roundtable, contact Marie Parks at email@example.com.