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News Tagged as ACO

Toyon Associates, Inc.

ACOs: What Providers Need to Know

November 10, 2011

ACOs: What Providers Need to Know

MLN – October 2011

Fact Sheet Summary

This fact sheet is designed to provide education on Accountable Care Organizations (ACOs) under the Medicare Shared Savings Program. It includes a definition of an ACO, and information on how to participate in an ACO, how shared savings will work, how this program is aligned with other quality initiatives and how ACOs help doctors coordinate care.

Toyon Associates, Inc.

Interim Final Rule – Final Waivers in Connection with the Shared Savings Program

November 2, 2011

Interim Final Rule – Final Waivers in Connection with the Shared Savings Program

CMS-1439-IFC – 11/2/11

The interim final rules applicable to establishing certain waivers associated with ACOs was published in the federal register on 11/2/11.

Toyon Associates, Inc.

Final Rules – Medicare Shared Savings Program: ACOs

November 2, 2011

Final Rules – Medicare Shared Savings Program: ACOs

CMS-1345-F – 11/2/11

The final rules for ACOs were published in the federal register on 11/2/11.

Toyon Associates, Inc.

Methodology for Determining Shared Savings & Losses under the Medicare Shared Savings Program

October 31, 2011

Methodology for Determining Shared Savings & Losses under the Medicare Shared Savings Program

MLN – October 2011

Fact Sheet Summary

This fact sheet is designed to provide education on the methodology for determining shared savings and losses under the Medicare Shared Savings Program. It includes an overview of the program, a description of the two tracks providers can choose, and a description of how Medicare determines the shared savings or loss.

Toyon Associates, Inc.

Medicare Shared Savings Program & Rural Providers

October 31, 2011

Medicare Shared Savings Program & Rural Providers

MLN – October 2011

Fact Sheet Summary

This fact sheet is designed to provide education on how the Medicare Shared Savings Program impacts rural providers. It includes information on federally qualified health centers, rural health clinics, critical access hospitals and how this program
impacts them.

Toyon Associates, Inc.

Advanced Payment ACO Model

October 31, 2011

Advanced Payment ACO Model

MLN – October 2011

Fact Sheet Summary

This fact sheet is designed to provide education on improving quality of care under ACOs. It includes a table of quality measures under the program.

Toyon Associates, Inc.

Improving Quality of Care for Medicare Patients: ACOs

October 31, 2011

Improving Quality of Care for Medicare Patients: ACOs

MLN – October 2011

Fact Sheet Summary

This fact sheet is designed to provide education on improving quality of care under ACOs. It includes a table of quality measures under the program.

Toyon Associates, Inc.

Summary of Final Rule Provisions for ACOs under the Medicare Shared Savings Program

October 31, 2011

Summary of Final Rule Provisions for ACOs under the Medicare Shared Savings Program

MLN – October 2011

Fact Sheet Summary

This fact sheet is designed to provide education on the provisions of the final rule that implements the Medicare Shared Savings Program with Accountable Care Organizations (ACOs). It includes background, information on how ACOs impact beneficiaries, eligibility requirements to form an ACO, and information on monitoring and tying payment to improved care at lower costs.

Toyon Associates, Inc.

Interim Final Rule – Waivers ACO

October 21, 2011

Interim Final Rule – Waivers ACO

CMS-1439-IFC; FR 11/02/11

Federal Register Summary:

This interim final rule with comment period establishes waivers of the

application of the Physician Self-Referral Law, the Federal anti-kickback statute, and

certain civil monetary penalties (CMP) law provisions to specified arrangements

involving accountable care organizations (ACOs) under section 1899 of the Social

Security Act (the Act) (the Shared Savings Program), including ACOs participating in the Advance Payment Initiative. Section 1899(f) of the Act, as added by the Affordable Care Act, authorizes the Secretary to waive certain fraud and abuse laws as necessary to carry out the provisions of section 1899 of the Act.

Toyon Associates, Inc.

Final Rule – ACO

October 21, 2011

Final Rule – ACO

CMS-1345-F; FR 11/02/11

Federal Register Summary:

This final rule implements section 3022 of the Affordable Care Act which

contains provisions relating to Medicare payments to providers of services and suppliers

participating in Accountable Care Organizations (ACOs) under the Medicare Shared Savings Program. Under these provisions, providers of services and suppliers can continue to receive traditional Medicare fee-for-service (FFS) payments under Parts A and B, and be eligible for additional payments if they meet specified quality and savings requirements.

  • Click hereto view the CMS chart of changes. This is a very helpful chart.
  • Click here to view the CMS press release.
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