Navigation Links
ACO-to-MA Transition Involves Broad Array of Rules, Requirements, But Could Reap Financial Rewards, Reports ACO Business News
Date:9/5/2013

Washington, DC (PRWEB) September 05, 2013

Medicare Shared Savings Program (MSSP) and Pioneer accountable care organizations that want to open Medicare Advantage (MA) plans will need to consider how to address a broad array of requirements ranging from insurance reserves to compliance issues, reports the September issue of Atlantic Information Services, Inc.’s (AIS) ACO Business News in an overview of an Aug. 8 webinar co-hosted by AIS and Gorman Health Group, LLC (GHG).

ACOs that do make the move could see financial rewards that well exceed the possible shared savings from the two Medicare ACO programs, GHG senior vice president, finance, William MacBain told webinar attendees. However, it’s not a strategy that will suit every organization, he added. “This is for Medicare ACOs looking for an exit strategy: provider organizations who have tasted risk and like it, but are looking for something that does not have the sort of issues that Medicare ACO programs have.”

Choosing to become an MA plan involves a move upstream to the payer side and involves more complex issues, while staying on the provider side and sharing risk as a network contracted with MA plans might “look something like what you’re doing now as an ACO, or moving further into full capitation,” MacBain said. Either option, he added, could represent a successful strategy for a current Medicare ACO.

Visit http://aishealth.com/archive/nabn0913-05 to read the article in its entirety, which also includes analysis of the hurdles ACOs may face in transitioning to MA plans from Regan Pennypacker, GHG’s senior director of compliance solutions, and Aaron Eaton, GHG’s chief development officer. For more information about the Aug. 8 webinar and to order a recording, visit http://aishealth.com/marketplace/c3ag33_080813.

About ACO Business News
ACO Business News delivers timely news and business strategies on accountable care organizations for physicians and provider groups, hospitals, health plans and their advisers. The monthly newsletter covers the latest industry actions to design and create ACOs, results that are already being achieved by ACO-like entities, and HHS regulations and guidance on this provocative new trend in health care. Featuring the pros and cons of various strategies for different types of organizations, ACO Business News is designed to help readers avoid the pitfalls ahead and transform exciting ACO opportunities into winning business strategies. Visit http://aishealth.com/marketplace/aco-business-news to learn more.

About Atlantic Information Services
Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 25 years. It develops highly targeted news, data and strategic information for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, websites, looseleafs, books, strategic reports, databases, webinars and conferences. Learn more at http://www.AISHealth.com.

Read the full story at http://www.prweb.com/releases/2013/9/prweb11091537.htm.


'/>"/>
Source: PRWeb
Copyright©2012 Vocus, Inc.
All rights reserved

Related medicine news :

1. Life Transitions May Trigger Eating Disorders
2. Teens With ADHD May Need Help Making Transition to College
3. The Cyr Family Charitable Trust Announces Partnership with Ms. Wheelchair America 2013 and Non Profit Upward Transitions Therapeutic Horsemanship
4. Brigham and Womens Hospital receives award to improve and reshape patient care transitions
5. Youths with autism spectrum disorder need help transitioning to adult health care
6. Automated Security Alert's Medical Technology Improves Care Transitions
7. Norah Guide Offers New Amazingly Accurate Transition Period Guide to Luck and Happiness
8. Youth with type 1 diabetes may suffer health risks when transitioning from pediatric to adult care
9. Premium Astrology and Norah Guide Present Transition Period Guide To Luck and Happiness
10. Avamere Family of Companies Acquires Six Transitional Care Facilities, Expands Eastward into New Post-Acute Markets.
11. National Transitions of Care Coalition to Host Regional Summit in Nashville
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/24/2017)... ... May 24, 2017 , ... Medic CE , ... Surprising Truth about Pediatric Septic Shock” hosted by the Journal of Emergency Medical Services ... p.m. Eastern time, will be presented by Captain Rommie Duckworth, LP, a career fire ...
(Date:5/24/2017)... ... May 24, 2017 , ... ... offering holistic pediatric dentistry options for its patients on Long Island, New York. ... entire physical well being, and is one of the biggest trends in dentistry ...
(Date:5/24/2017)... ... May 24, 2017 , ... Fiberstar, Inc., ... for the food and beverage industry offers Citri-Fi®, a natural citrus fiber, to ... purchasing decision process. As a result, labels need to deliver simple, transparent and ...
(Date:5/23/2017)... (PRWEB) , ... May 23, 2017 , ... ... Population Health and Clinical Integration company, announced today that its iClinic V12.2 solution ... (PCMH) 2017 Prevalidation. NCQA recently introduced PCMH 2017 standards which emphasize team-based ...
(Date:5/23/2017)... ... May 23, 2017 , ... PM360, the premier information ... announced the winners of its 3rd Annual ELITE Awards. The ELITE (Exceptional • ... the healthcare industry today. , Out of more than 500 submissions, 100 winners ...
Breaking Medicine News(10 mins):
(Date:5/6/2017)... IRVING, Texas , May 5, 2017   Provista ... 1994 with more than 200,000 customers, today announced Jim ... brings a wealth of executive and business experience to Provista, ... a compounding pharmacy in California . He ... "Jim is a great fit for Provista," says ...
(Date:5/4/2017)... , May 4, 2017  Fortuna Fix Inc. (" ... to be the first to eliminate the need for embryonic ... cells to treat neurodegenerative diseases. Fortuna ... with Professor Michael Fehlings , MD, PhD; Father ... , MD, MPH; and Professor James Giordano , PhD. ...
(Date:5/4/2017)... SAN DIEGO , May 4, 2017 ... 2017 Annual Clinical and Scientific Meeting— OBP Medical , ... devices, today announced the launch of a new extra-small ... and ER-SPEC vaginal specula. Already available ... and extra-large sizes makes OBP Medical,s line of single-use ...
Breaking Medicine Technology: