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:10/13/2017)... ... 2017 , ... The American Board of Family Medicine's (ABFM) Board of Directors ... Officer, succeeding Dr. James C. Puffer upon his retirement. Dr. Newton will serve in ... retirement at the end of 2018. Upon assuming the role of President and CEO ...
(Date:10/13/2017)... ... October 13, 2017 , ... Lori R. Somekh, founder ... of ElderCounsel, a national organization of elder law and special needs planning attorneys. “Membership ... rules. It also provides a forum to network with elder law attorneys nationwide,” said ...
(Date:10/13/2017)... ... 2017 , ... Ellevate Network, the leading network for professional women, brought together ... equality at their inaugural Summit in New York City in June. The event was ... of over 3 million. To watch the Mobilize Women video, click here . ...
(Date:10/13/2017)... ... 13, 2017 , ... Coveros, a leader in agile coaching ... contract by the Center for Medicare and Medicaid Services (CMS). The Enterprise Agile ... of Agile methodologies in a consistent and high value manner across CMS programs. ...
(Date:10/12/2017)... (PRWEB) , ... October 12, 2017 , ... ... are now treating sleep apnea using cutting-edge Oventus O2Vent technology. As ... serious sleep disorder characterized by frequent cessation in breathing. Oral appliances can offer ...
Breaking Medicine News(10 mins):
(Date:10/4/2017)... WESTWOOD, Mass. , Oct. 4, 2017  According to the Centers ... by the end of October . PhysicianOne Urgent Care is helping communities ... Westchester, NY , by offering no-cost* flu shots through ... , as mandated by certain health insurance regulations. ... The best time to get a flu shot is by ...
(Date:10/2/2017)... Oct. 2, 2017  Eli Lilly and Company (NYSE: ... for the third quarter of 2017 on Tuesday, October ... on that day with the investment community and media ... The conference call will begin at 9 a.m. Eastern ... a live webcast of the conference call through a ...
(Date:10/2/2017)... , Oct. 2, 2017 The Rebound mobile ... the struggle to reverse the tide of prescription drug addiction. ... regulating their medicine intake and stepping down their dosage in ... to launch in December 2017; the first 100,000 people to ... more at ...
Breaking Medicine Technology: