Accountable Care Organizations (ACOs) are groups of health care providers that integrate in order to provide coordinated care to a patient population in an effort to reduce health care costs and improve quality of care. Establishing an ACO is far from simple, as the rules and regulations surrounding ACOs are complex and nuanced. Our team has provided advice and guidance to hospitals and physician groups relating to the formation, organization, and operation of ACOs, and we regularly assist ACO clients with:
• Preparing and submitting ACO applications to the Medicare Shared Savings Program (the “MSSP”);
• Questions concerning governance, participation, and compliance with the MSSP requirements;
• Utilizing the MSSP fraud and abuse waivers and entering into arrangements with ancillary providers; and
• Commercial contracting options.
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Attorney Erin Jochum Roberts has been providing a full range of services to doctors, nurses, administrators, and other health care professionals for over the past 13 years.