Posts Tagged ‘ACO’



Monday, May 16th, 2011

Under the CMS proposed rule, an ACO (Accountable Care Organization) must have a compliance plan.  At minimum, an ACO compliance plan must have the following five elements:

1. A designated compliance official or individual who is not legal counsel to the ACO and who reports directly to the ACO’s governing body

2. Mechanisms for identifying and addressing compliance problems related to the ACO’s operations and performance

3. A method for employees or contractors of the ACO or ACO providers/suppliers to report suspected problems related to the ACO

4. Compliance training of the ACO’s employees and contractors

5. A requirement to report suspected violations of law to an appropriate law enforcement agency.

To read the proposed rule in full, go here.

(Disclaimer: This blog is not intended as legal advice nor does it create an attorney-client relationship.  If you have questions relating to ACO compliance plans, please contact Matthews Law Firm, P.A.)

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ACO Test Pilot Programs

Wednesday, May 4th, 2011

While doing some ACO research, I compiled quite a few helpful resources on ACO test pilot programs.  Here are a few links describing some of these programs.  This is not intended to be an exhaustive list of each and every ACO test pilot program.  However, these are the links I found most informative.  Enjoy!

The Vermont Accountable Care Organization Pilot: A Community Health System to Control Total Medical Costs and Improve Population Health

New Jersey Prepares to Launch Accountable Care Organization

On the Road to Better Value: State Roles in Promoting Accountable Care Organizations (includes a state-by-state summary)

Successful Pilot Tests Clear the Way for July Debut of ACO Standards

A Guide to Accountable Care Organizations, and Their Role in the Senate’s Health Reform Bill (Seton Hall School of Law Web Log, lots of information about ACO’s in general)

Accountable Care Organizations: Can They Rein In Health Care Spending for States? (pertinent section begins at page 13)

Creating Accountable Care Organizations in Massachusetts

The ACO Toolkit (a comprehensive ACO implementation guide)

The Brookings-Dartmouth ACO Test Pilot Implementation Sites

(Disclaimer: This post does not constitute legal advice and should not be considered as such.)

Matthews Law Firm, P.A., practicing health law in Polk County, Florida.