The ABCs of ACOs: A Practical Handbook for Accountable Care Organizations

    By John Okray, Martin R Merritt, Rachel V Rose and Raymund Camilo King

    The ABCs of ACOs: A Practical Handbook for Accountable Care Organizations

    The ABCs of ACOs: A Practical Handbook for Accountable Care Organizations

    By John Okray, Martin R Merritt, Rachel V Rose and Raymund Camilo King

    ACOs pose difficult legal issues because of their accountability for the quality, cost, and overall care of Medicare beneficiaries. The ABCs of ACOs encapsulates the most applicable knowledge available on how these healthcare organizations will work within the model.

    The ABCs of ACOs: A Practical Handbook for Accountable Care Organizations

    By John Okray, Martin R Merritt, Rachel V Rose and Raymund Camilo King

    The ABCs of ACOs: A Practical Handbook for Accountable Care Organizations

    The ABCs of ACOs: A Practical Handbook for Accountable Care Organizations

    By John Okray, Martin R Merritt, Rachel V Rose and Raymund Camilo King

    ACOs pose difficult legal issues because of their accountability for the quality, cost, and overall care of Medicare beneficiaries. The ABCs of ACOs encapsulates the most applicable knowledge available on how these healthcare organizations will work within the model.
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    Understand the new model of ACOs.

    This book is intended for attorneys, as well as health care providers, who are involved in the formation, maintenance, or deconstruction of a physician-owned ACO. Real-life applications involving physician-owned ACOs are used to educate the reader, as the authors leverage their vast experience as lawyers and physicians in creating ACOs.

    ACOs pose difficult legal issues because of their accountability for the quality, cost, and overall care of Medicare beneficiaries. ABCs of ACOs encapsulates the most applicable knowledge available on how these healthcare organizations will work within a model of payment and care that seeks to tie provider reimbursements to quality metrics and reductions in the total cost of care for an assigned population of patients.

    This book provides an understanding of both the one-sided (sharing savings, but not losses, for the entire term of the first agreement); and two-sided CMS models (sharing both savings and losses for the entire term of the agreement); and the payment models (capitation, fee-for-service with asymmetric or symmetric shared savings.

    Chapters include:

    ·         ARRA/HITECH/HIPAA and the Business Associate Agreement

    ·         Federal and State “Fraud and Abuse” Laws and Medical Ethics

    ·         Antitrust Matters

    ·         ACOs and Respondeat Superior

    Product Details

    Authors

    John Okray, Martin R Merritt, Rachel V Rose, Raymund Camilo King

    Publishers

    ABA Book Publishing

    ISBN

    9781627226264

    Product Code

    5630125

    Publication Date

    7/24/2014 12:00:00 AM

    Authors

    John Okray, Martin R Merritt, Rachel V Rose, Raymund Camilo King

    Publishers

    ABA Book Publishing

    ISBN

    9781627226271

    Product Code

    5630125EBK

    Publication Date

    7/24/2014 12:00:00 AM

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