Navigation Links
ACO-to-MA Transition Involves Broad Array of Rules, Requirements, But Could Reap Financial Rewards, Reports ACO Business News

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 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

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 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

Read the full story at

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:
(Date:11/27/2015)... ... November 27, 2015 , ... ... software Q-Suite, announces the incorporation of Asterisk 11 LTS (Long Term Support) into ... Asterisk 11 LTS brings Q-Suite 5.10 up-to-date with a version of Asterisk that ...
(Date:11/26/2015)... NV (PRWEB) , ... November 26, 2015 , ... Inevitably ... strategy. Many customers choose to buy during the Black Friday and Cyber Monday ... Shoppers don’t need to search the Internet high and low to find the best ...
(Date:11/26/2015)... ... November 26, 2015 , ... Somu Sivaramakrishnan announced ... franchise owner, Somu now offers travelers, value and care based Travel Services, including ... sales, as well as, cabin upgrades and special amenities such as, shore excursions, ...
(Date:11/26/2015)... ... ... Jobs in hospital medical laboratories and in the imaging field lead the ... Aureus Medical Group . These fields, as well as travel nursing, ranked ... jobs through the company’s website, , The leading healthcare staffing agency ...
(Date:11/26/2015)... , ... November 26, 2015 , ... ... medical opinion process, participated in the 61st annual Employee Benefits Conference. The Employee ... took place Sunday, November 8th through Wednesday, November 11th, 2015. The conference was ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... , November 26, 2015 ... addition of the "Radioimmunoassay Market by ... (Hospital, Pharmaceutical Industry, Academics, Clinical Diagnostic Labs), ... Global Forecast to 2020" report to ... has announced the addition of the ...
(Date:11/25/2015)... , Nov. 25, 2015  The American ... and Gynecologists (ACOG), and the March of Dimes ... Protecting Our Infants Act of 2015 ... number of newborns born exposed to drugs, such ... the bill,s introduction, all three organizations have worked ...
(Date:11/25/2015)... Nov. 25, 2015  Henry Schein, Inc., the world,s ... office-based dental, medical and animal health practitioners, will unveil ... Henry Schein ConnectDental® Pavilion , which brings together ... open solutions designed to help any practice or laboratory ... for a schedule of experts appearing at the ...
Breaking Medicine Technology: