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Hospital Inpatient Value-Based Purchasing Program Rules
Hospital Inpatient Value-based Purchasing Program:New Rules Proposed By CMS CMS has issued a notice of proposed rule-making to the Federal Register on January 13, 2011 concerning the hospital...
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Anti-kickback Statutes Safe Harbor Regulations
Anti-kickback Statutes and Safe Harbor Regulations Overview: On the books since 1972, the federal anti-kickback law’s main purpose is to protect patients and the federal health care programs from fraud...
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Pioneer Program ACO Accountable Care Organization CMS Program
32 Health Systems to Participate In Pioneer ACO Program HHS has announced that thirty-two leading health care organizations have been named as participants in the new Pioneer Accountable Care...
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Supreme Court Upholds PPACA Except Medicaid Expansion To States
The United states supreme court today released the long awaited decision regarding the constitutionality of the affordable care act. We will be blogging more on this issue and are preparing a variety...
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89 New Accountable Care Organizations Announced By CMS
CMS Announces 89 New Accountable Care Organizations The Centers for Medicare & Medicaid Services (CMS) has announced 89 new organizations that qualify to participate as Accountable Care...
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Physician Specialty Group Affiliations and ACO Involvement
Specialty Affiliations and Mergers – Consider How You Fit Into An Accountable Care Organization One result of health care reform is a resurgence in affiliations and mergers of specialty practices...
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Bundled Payment Arrangements for Clinically Integrated Networks
Bundled Payment and ACO Arrangements – Clinically Integrated Payment Methodologies Bundled payment involves an agreement between a provider group and a payor for the management of a defined segment of...
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Final Rule Under the Medicare Shared Savings Program Released
CMS Releases Final Revised Shared Savings Program Regulations The Center for Medicare and Medicaid Services (CMS) has issued final regulations revising requirement applicable to Accountable Care...
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HCQIA and Clinically Integrated Provider Networks
Health Care Quality Improvement Act and Clinically Integrated Provider Networks Clinically integrated networks present unique credentialing issues that are normally not present in hospital or facility...
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CMS Comments On ACO Participation Agreement Requirements
MSSP ACO Agreement Requirements CMS Comment Describing Provider Agreement Requirements for Participation In the Medicare Shared Savings Program Section 1899(b)(2)(B) of the Act requires participating...
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ACO Primary Care Exclusivity Requirement – Not As Broad As Some Believe
Exclusivity of Primary Care Physicians Under MSSP Rules There has been a lot of confusion across the country about the primary care exclusivity requirement that applies to Accountable Care...
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300 Pages of New Regulations Ruining Health Care Attorney Lives Across the...
Mountain of New Regulations Issued By CMS Just a tip to my colleagues in health care law. Do not send these new regulations to printer before giving them an eyeball. They are long and if you share...
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Clinical Integration Readiness Analysis CINs
Are You Ready for Clinical Integration? When we take on a new clinical integration project, one of the first activities we advise is the performance of a snapshot clinical integration readiness...
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Population Health Management and Clinical Integration
Population Health Management and Clinical Integration – The Center of the Reformed Health Care System Population health management is bigger than ever now that health reform has become ingrained in our...
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CMS Releases Final Rules Under Medicare Shared Savings Program
MSSP Final Rules Revision ACO Requirements Under Shared Savings Program – 2016 Revised MSSP Regulations Issues On June 10, just in time for my birthday (thanks CMS), the Centers for Medicare &...
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Health Law Firm Opens Green Bay Office
Green Bay Health Care Lawyer – Opening Office in Green Bay Wisconsin I just wanted to let readers of our health care blog know that Ruder Ware will be opening a Green Bay office and that three Green...
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