Editor s Report. What s Inside
|
|
- Miles Thompson
- 7 years ago
- Views:
Transcription
1 A Publication of the Health Care and Pharmaceuticals Committee of the Antitrust Section of the American Bar Association Co-Chairs: Seth Silber Wilson Sonsini Christi Braun Mintz Levin Editors: Tracy Weir Baker Donelson Jeff White Weil Gotshal Editor s Report August 2011 Vol. 24 /No. 5 In this summer edition of the Chronicle, we are pleased to offer three articles focused on one of the hottest (or, at least, most talked about) health care antitrust topics of the year: Accountable Care Organizations (ACOs). In our lead article, John Carroll of King & Spalding LLP provides an comprehensive overview and breaks down the recent DOJ/FTC proposed policy statement on ACOs. Mr. Carroll assesses the implications of the policy statement and offers his insight into the practical considerations for providers considering forming an ACO. In our second article, Dionne Lomax and Sandeep Vaheesan of Vinson & Elkins LLP and Dr. Lona Fowdur and Dr. John Gale of Economists Inc. thoroughly examine the FTC s recent workshop on ACOs. The authors walk through in detail the various issues discussed at the workshop and describe the views expressed by the numerous panelists and commentators in attendance. In our third article, Christi Braun of Mintz Levin offers an interesting analysis of exclusivity and the issues it raises for ACOs. Specifically, Ms. Braun examines the practical implications, and potentially divergent goals, under the CMS s proposed Medicare Shared Savings Program regulations and the antitrust laws as they pertain to exclusivity in ACOs. We are always interested in hearing from our committee members. If there is a topic that you would like to see covered in an article or a committee program, please contact Seth Silber (ssilber@wsgr.com) or Christi Braun (cjbraun@mintz.com). If you are interested in writing an article for the Chronicle, please contact Jeff White (jeff.white@weil.com). Tracy Weir, Baker Donelson What s Inside Jeff White, Weil Gotshal Accountable Care Organizations: Examining the Proposed Department of Justice / Federal Trade Commission Policy Statement...2 Report on FTC Workshop Another Dose of Competition: Accountable Care Organizations and Antitrust...9 Exclusivity and the Antitrust Issues It Raises for ACOs...21
2 Accountable Care Organizations: Examining the Proposed Department of Justice/Federal Trade Commission Policy Statement By John D. Carroll 1 King & Spalding LLP On March 31, 2011, the Federal Trade Commission (FTC) and the Department of Justice Antitrust Division (DOJ) (collectively, the Agencies ) released for public comment the Proposed Statement of Antitrust Enforcement Policy Regarding Accountable Care Organizations Participating in the Medicare Shared Savings Program, 2 a joint policy statement explaining how the Agencies intend to enforce the antitrust laws with regard to newly formed accountable care organizations (ACOs). The Policy Statement accompanies the release on the same day by the Centers for Medicare and Medicaid Services (CMS) of its proposed regulations to cover ACOs participating in the Medicare Shared Savings Program (SSP). 3 The Policy Statement is the first healthcare pronouncement from the Agencies in several years and marks the first time since 1996 that the Agencies have published guidelines regarding clinical integration. This article describes the Policy Statement s analytical framework, as well as the process the Agencies have committed to using in reviewing 1 John Carroll is a senior associate in the Antitrust Practice Group of King & Spalding LLP Fed. Reg. 21,894 (April 19, 2011) [hereinafter, the Policy Statement ]. 3 The FTC s press release regarding the Policy Statement is available at: The proposed CMS regulations are available at: Comments are due by May 31, ACOs. It then discusses the implications presented by the Policy Statement. Finally, the article provides practical considerations for providers considering forming an ACO to participate in the SSP. Background The Policy Statement is part of a larger antitrust framework regarding provider combinations. Specifically, mergers are evaluated under the FTC/DOJ Horizontal Merger Guidelines (Merger Guidelines), 4 and other types of provider joint ventures (e.g., group purchasing organizations) are reviewed pursuant to the 1996 FTC/DOJ Statements of Antitrust Enforcement Policy in Health Care 5 and the FTC/DOJ Competitor Collaboration Guidelines 6 issued in The Merger Guidelines involve an examination of product and geographic market definition, 4 U.S. DEP T OF JUSTICE & FED. TRADE COMM N, HORIZONTAL MERGER GUIDELINES (rev. ed. 2010), available at 5 U.S. DEP T OF JUSTICE & FED. TRADE COMM N, STATEMENTS OF ANTITRUST ENFORCEMENT POLICY IN HEALTH CARE (1996) [hereinafter, the Healthcare Statements ], available at ex.htm. 6 U.S. DEP T OF JUSTICE & FED. TRADE COMM N, ANTITRUST GUIDELINES FOR COLLABORATIONS AMONG COMPETITORS (2000), available at 2
3 market structure, entry, and the merger s competitive effects. Although the concepts articulated in the Merger Guidelines regarding market definition and competitive effects apply generally to joint ventures, how joint ventures are examined by the Agencies is less straightforward. The genesis of the Agencies framework regarding provider joint ventures was the Supreme Court s Maricopa County Medical Society decision, which held that fee agreements among independent provider competitors fit squarely into the horizontal price-fixing mold. 7 Thus, naked agreements on price between or among providers are considered per se illegal under Section 1 of the Sherman Act (Section 1). 8 In the Healthcare Statements, the Agencies clarified that an integrated joint venture s joint pricing policy is not a per se violation of Section 1. 9 Such pricing policies are, instead, subject to the more relaxed Rule of Reason standard. The Agencies have recognized for decades that many types of integrated joint ventures are likely to benefit consumers. Their central concern is the type of restraint typically joint contracting with managed care companies in which the joint venture engages. The Agencies, however, take the position that provider joint ventures that involve substantial financial or clinical integration are subject to Rule of Reason treatment, provided they meet certain conditions. What constitutes sufficient financial or clinical integration has been subject to significant debate, and the Agencies have been reluctant to 7 Arizona v. Maricopa County Med. Soc., 437 U.S. 332, 357 (1982) U.S.C 1. 9 U.S. DEP T OF JUSTICE & FED. TRADE COMM N, STATEMENTS OF ANTITRUST ENFORCEMENT POLICY IN HEALTH CARE (1996). provide much specificity. Instead, in addition to the general descriptions of integration and some hypothetical examples in the Healthcare Statements, the Agencies publish advisory opinions (FTC) and business review letters (DOJ) that respond to proposals from parties to engage in certain activities. With respect to financial integration, the Agencies take the position that providers must share substantial financial risk. The Agencies have indicated several ways in which providers may share substantial financial risk, including agreements for capitated compensation, agreements to provide designated services for a pre-determined percentage of premium or revenue, and use by the venture of significant financial incentives for providers to achieve cost containment goals. 10 Although the FTC has provided positive advisory opinions regarding clinically integrated joint ventures, 11 at least one Commissioner has expressed skepticism regarding clinical integration alone as a justification for joint contracting. In 2007, current FTC Commissioner Rosch stressed that the bar for clinical integration is high, noting that the sagest and most realistic form of integration that a physician joint venture can undertake is meaningful financial integration Healthcare Statements, supra note 5, at Statements 8.A.4 and 9.A. 11 See, e.g., Letter from Markus H. Meier, Assistant Director, Bureau of Competition, FTC, to Christi J. Braun and John J. Miles (Sept. 17, 2007), available at Letter from Markus H. Meier, Assistant Director, Bureau of Competition, FTC, to Christi J. Braun (Apr. 13, 2009), available at 12 J. Thomas Rosch, Clinical Integration in Antitrust: Prospects for the Future, Remarks at American Health Lawyers Association, ABA Antitrust Section and ABA 3
4 Nevertheless, through the Healthcare Statements and advisory opinions, the Agencies have indicated that elements of sufficient clinical integration program include: Participation in active and ongoing programs to monitor and control utilization of healthcare services, control costs, and assure quality of care; Interdependence among participating providers; Significant investment of capital, both monetary and human, in the necessary infrastructure and capability to realize the claimed efficiencies (e.g., implementing electronic medical records platform for all members); and Collaboration and cooperation among participating providers, resulting in lower costs and higher quality of services provided through the network. 13 Critically, any agreement concerning price or other terms or conditions of dealing entered into by or within the network must be reasonably necessary to obtain significant efficiencies through the network. 14 For those financial risk-sharing joint ventures seeking some comfort, the Agencies have provided safety zones. Specifically, absent extraordinary circumstances, the Agencies will not challenge an exclusive physician financial Health Law Section 2007 Antitrust in Health Care Conference (Sept. 17, 2007), available at 13 See Healthcare Statements, supra note 5, at Statement 8.B.1; see, e.g., Letter from Jeffrey W. Brennan, Assistant Director, Bureau of Competition, FTC, to John J. Miles (Feb. 19, 2002), available at 14 See Healthcare Statements, supra note 5, at Statement 8.B.2. risk-sharing joint venture whose physician participants constitute 20 percent or less of the available physicians in each medical specialty in the relevant geographic market. 15 Similarly, the Agencies will not challenge a non-exclusive physician financial risk-sharing joint venture whose physician participants constitute 30 percent or less of the available physicians in each medical specialty in the relevant geographic market. 16 Framework The Statement covers five areas: (1) the ACOs to which it will apply; (2) when the FTC and DOJ will apply particular antitrust analyses to those ACOs; (3) an antitrust safety zone for certain ACOs; (4) a mandatory antitrust review process for certain other ACOs; and (5) how the Agencies will review proposed ACOs that fall outside the safety zone but below the mandatory review threshold. The Policy Statement applies only to ACOs formed after March 23, 2010 that are collaborations among otherwise independent providers or provider groups that seek to participate in the SSP. By extension, the Policy Statement does not apply to ACOs that are integrated physician practices or hospitals with their employed physicians. Because the Policy Statement only applies to collaborations, the Agencies central antitrust concern involves ACO s joint contracting with commercial payors. The Statement recognizes that providers are more likely to integrate their care delivery for Medicare beneficiaries through ACOs if they can also use the ACOs for commercially insured patients Id. at Statement 8.A Id. at Statement 8.A Policy Statement, supra note 2, at 21,895. 4
5 According to the Policy Statement, ACOs that use the same governance and leadership structure and the same clinical and administrative processes they use to qualify for, and participate in, the SSP will involve sufficient clinical integration to warrant analysis under the Rule of Reason by the Agencies. This is an important expansion upon the existing paradigm. First, the Agencies assume integration incorporating the processes required for the SSP is sufficient integration for federal antitrust purposes. Second, by guaranteeing treatment under the Rule of Reason, the Agencies eliminate the parties need to demonstrate that joint contracting is ancillary, or reasonably necessary, to achieving the efficiencies of the joint venture. The Policy Statement thus provides further guidance as to what indicia may constitute sufficient clinical integration, including: (1) a formal legal structure that allows the ACO to receive and distribute payments for shared savings; (2) a leadership and management structure that includes clinical and administrative processes; (3) processes to promote evidence-based medicine and patient engagement; (4) collecting and reporting data on quality and cost measures; and (5) providing coordinated care for patients. The key provisions of the Policy Statement concern whether the Agencies will conduct an antitrust review of an ACO and the types of facts and arguments the Agencies will consider as part of a review. Specifically, certain ACOs that would rarely be able to restrain competition may qualify for safety zone treatment, meaning that the Agencies will not challenge the conduct of such ACOs, absent extraordinary circumstances. For an ACO to fall within the safety zone, the independent ACO participants must have a combined share of 30 percent or less of each common service in each participant s Primary Service Area (PSA), which is defined as the lowest number of contiguous postal zip codes from which the ACO participant draws at least 75 percent of its patients. 18 In addition, any hospital or ambulatory surgery center participating in the ACO must be non-exclusive for the ACO to be in the safety zone. There is an exception to the 30 percent ceiling for ACOs in rural counties. Specifically, a rural ACO may include one physician per specialty from each rural county on a non-exclusive basis, even if this inclusion causes the ACO s share in that specialty to exceed 30 percent. Similarly, there is a dominant provider limitation, which allows an ACO to qualify for the safety zone, even if it includes a participant with a greater than 50 percent market share in a specialty in which there are no other providers. The caveat, however, is that the dominant provider must be a non-exclusive participant for the ACO to fall within the safety zone. ACOs that have more than a 50 percent PSA share for any common service must undergo mandatory review by the one of the Agencies. Despite this requirement, these ACOs are not presumed unlawful. As part of their review, the DOJ or the FTC will analyze the potential for the ACO to exercise market power and the procompetitive effects of the ACO to ensure that the proposed ACO s actions will be lawful under federal antitrust law. The Policy Statement follows a rule of reason approach in its analysis of the ACOs. Specifically, it states: When conducting a review... the Agencies will consider any information or alternative data suggesting that the PSA shares may not reflect the ACO s likely market power, and also will consider any substantial pro- 18 Id. at 21,897. 5
6 competitive justification for why the ACO needs that proposed share to provide high-quality, cost-effective care to Medicare beneficiaries and patients in the commercial market. 19 The Policy Statement describes how the parties can obtain an expedited review by submitting certain types of information and documents to the relevant Agency at least 90 days before the last day that CMS has stated it will accept ACO applications for the relevant calendar year. Depending on the ACO, the burden of the request, in terms of required submissions, will fall somewhere between a Hart-Scott-Rodino filing and a Second Request. Essentially, the Agencies call for information and documents relating to the formation of the ACO, the competitive landscape, and how the ACO will treat competitively-sensitive information. 20 As part of this expedited review, the notified Agency will provide its opinion (i.e., whether the Agency will challenge the ACO if it proceeds as represented in its documents) within 90 days of receiving all of the information from the parties. For ACOs that fall between the safety zone and the mandatory review, the Policy Statement leaves it up to the parties to decide whether to contact the Agencies. For those ACOs seeking to limit their antitrust risk, the Agencies indicate that ACOs should avoid certain types of conduct that may raise competitive concerns. These types of conduct include the following: 19 Id. 20 Id. at 21,898. Preventing commercial payers from directing patients to choose certain providers; Tying sales of the ACO s services to other providers services; Contracting on an exclusive basis for anyone other than primary care providers; Restricting a commercial payers ability to make available to its enrollees cost, quality, performance, and efficiency data; and Sharing competitively-sensitive information among provider participants. Implications The Policy Statement is the first major healthcare policy pronouncement from the Agencies since 1996, and it is the first time the Agencies have affirmatively stated that an entire type of provider collaboration will be subject to rule of reason treatment if certain specific integration criteria are met. The Policy Statement is, however, generally consistent with the antitrust framework under which the Agencies have examined provider combinations. One part of the Policy Statement that is consistent with the Healthcare Statements is the somewhat paradoxical treatment of exclusivity. The Agencies consider exclusive relationships to be more likely to raise antitrust issues and, thus, both the Healthcare Statements and the Policy Statement treat exclusive joint ventures differently from non-exclusive ones. In the Healthcare Statements, the safety zone requires a lower market share of exclusive joint ventures than it does of non-exclusive networks, and, in the Policy Statement, certain providers are required to be non-exclusive, regardless of market share, in order for the ACO to fall within the safety zone. Yet, creating an exclusive network may be necessary to sufficiently incentivize physicians to participate in the program and to prevent free-riding. One of the key challenges in creating a successful clinical integration program is getting independent 6
7 physicians to agree on, among other things, standard clinical protocols, and they may be unwilling to do so if they must continue to compete outside the ACO. Although the Policy Statement is technically limited to ACOs, it will likely have ripple effects into other types of provider joint ventures. First, providers may argue that, although a proposed joint venture does not technically constitute an ACO according to the Policy Statement, it nonetheless involves an analogous kind of clinical integration and thus any joint contracting should be presumed by the Agencies to be ancillary to furthering the efficiencies of the network. Second, providers undergoing FTC or DOJ review may point to the expedited review process and expect the agency to agree to similar timing or to certain limitations regarding information requests. Finally, the issuance of the Policy Statement reflects a multi-agency approach and marks a return by DOJ to healthcare provider enforcement. Prior to this, the FTC has been almost the exclusive Agency investigating provider networks. For this reason, FTC Commissioner J. Thomas Rosch dissented, citing DOJ s far less expertise or experience and greater susceptibility to lobbying and other political pressure. 21 Unfortunately, as is the case with U.S. antitrust enforcement generally, it is far from clear how the Agencies will allocate jurisdiction. Practical Considerations For providers considering forming an ACO, absent extraordinary circumstances, antitrust issues should not determine the type of 21 J. Thomas Rosch, Statement of J. Thomas Rosch Respecting Proposed Regulations Implementing the Affordable Care Act (Mar. 3, 2011), available at df. combination. There is no magic structure that permits providers to get together without triggering a challenge by the Agencies. Instead, business and clinical considerations should drive the process. These considerations would primarily involve figuring out whether, and under what circumstances, physicians would be interested working together to make an ACO or other type of joint venture successful. For hospitals, a merger or acquisition may be more appealing than forming an ACO, due to the immediate capital and cash infusions and level of control the buyer may exercise. As with any provider combination, reaction from managed care companies is critical. Thus, if a main reason for forming an ACO is to band together and attain higher reimbursement rates from commercial payors, the ACO will probably trigger substantial review if not a challenge from an Agency, especially if its market share in any practice is above 50 percent. If, however, the providers are forming the ACO to reduce costs and demonstrate efficiencies, and managed care companies consider these benefits to be cognizable, then the Agencies will not likely have serious concerns. Although the Joint Policy Statement sets forth a framework for optional antitrust review, ACOs with 30 to 50 percent market share should consider whether such review offers any meaningful benefits, especially when weighed against the intrusiveness of the Agency s review, the likely requirement to produce significant volumes of data and documents, and the limited value of a non-binding statement that the Agency will not challenge a proposed ACO. Although the Policy Statement predicts that an expedited review will not impose substantial labor costs on providers, the estimates of $13,800-$23,000 are, at best, highly aspirational, given the type and amount of 7
8 information that would likely be requested. In many cases, such middle-range ACOs can hope to achieve the same reassurance simply by following the Policy Statement and adopting in the commercial market the processes required for participation in the Shared Savings Program. Finally, providers should create a comprehensive antitrust plan in considering and forming an ACO. Such a plan should involve several considerations. First, providers should consider how possible participants in ACOs can both safeguard their competitively-sensitive information from competitors and share it to evaluate the possible antitrust exposure for the ACO. Second, providers should assess the antitrust risk. To do this, providers should determine how they can efficiently identify their PSA and calculate their PSA share in shared services and their participants individual PSA shares in unique services. Conclusion At bottom, the Agencies understand that ACOs have significant potential to generate procompetitive benefits, but the Agencies remain concerned about the potential anticompetitive effects of provider combinations that involve high market shares. Despite the fact that a key aspect of Healthcare Reform involves furthering efficiencies through provider collaboration, the Agencies particularly the FTC remain focused on whether such combinations will result in ACOs having the ability to raise prices to managed care companies. What remains to be seen is whether providers will create an ACO and take advantage of the guidance from the Agencies, especially if the ACO would be subject to mandatory review, given the risks and substantial costs associated with DOJ or FTC scrutiny. 8
Proposed Statement of Antitrust Enforcement Policy Regarding Accountable Care Organizations Participating in the Medicare Shared Savings Program
Proposed Statement of Antitrust Enforcement Policy Regarding Accountable Care Organizations Participating in the Medicare Shared Savings Program I. Introduction The Patient Protection and Affordable Care
More informationCPI Antitrust Chronicle May 2011 (1)
CPI Antitrust Chronicle May 2011 (1) ACOs And Antitrust Enforcement: Familiar Rules Raise New Concerns Jane E. Willis, Mark S. Popofsky & Daniel J. Bachner Ropes & Gray LLP www.competitionpolicyinternational.com
More informationFEDERAL TRADE COMMISSION / DEPARTMENT OF JUSTICE
FEDERAL TRADE COMMISSION / DEPARTMENT OF JUSTICE Federal Trade Commission ( FTC ) Antitrust Division of the Department of Justice ( DOJ ) Statement of Antitrust Enforcement Policy Regarding Accountable
More informationThe Final ACO Antitrust Policy Statement: Much Improvement
theantitrustsource w w w. a n t i t r u s t s o u r c e. c o m D e c e m b e r 2 011 1 The Final ACO Antitrust Policy Statement: Much Improvement Jeff Miles H Hooray, hooray, hooray! The Federal Trade
More informationAccountable Care Organizations: Antitrust Business as Usual?
theantitrustsource w w w. a n t i t r u s t s o u r c e. c o m D e c e m b e r 2 011 1 Accountable Care Organizations: Antitrust Business as Usual? Ken Glazer and Catherine A. LaRose T The Patient Protection
More informationCPI Antitrust Chronicle May 2011 (1)
CPI Antitrust Chronicle May 2011 (1) Competitor Collaborations in Health Care: Understanding the Proposed ACO Antitrust Review Process Tasneem Chipty Analysis Group, Inc. www.competitionpolicyinternational.com
More informationACO Antitrust Guidelines: Coordination Among Federal Agencies
theantitrustsource w w w. a n t i t r u s t s o u r c e. c o m D e c e m b e r 2 011 1 ACO Antitrust Guidelines: Coordination Among Federal Agencies Susan DeSanti is the Director of Policy Planning at
More informationII. SHARED SAVINGS PROGRAM AND COST-REDUCTION INCENTIVES
E-ALERT Health Care April 15, 2011 ACCOUNTABLE CARE ORGANIZATION BASICS The Affordable Care Act establishes the Medicare Shared Savings Program ( Program ), which provides for the development of accountable
More informationAccountable Care Organizations Multiple Comment Periods
Accountable Care Organizations Multiple Comment Periods Proposed Waivers CMS and OIG CMS and HHS Office of Inspector General (OIG) jointly issued a notice with comment period outlining proposals for waivers
More informationACO and the FTC - Coordination Among Federal Agencies
theantitrustsource w w w. a n t i t r u s t s o u r c e. c o m D e c e m b e r 2 011 1 ACO Antitrust Guidelines: Coordination Among Federal Agencies Susan DeSanti is the Director of Policy Planning at
More informationAdditional Information About Accountable Care Organizations
Additional Information About Accountable Care Organizations For more information, please contact: April 2011 On March 31st, the federal government outlined proposed actions relating to Accountable Care
More informationThe Shared Savings Program - A Model For Success
Federal Trade Commission Accountable Care Organizations: What Exactly Are We Getting? Remarks of J. Thomas Rosch Commissioner, Federal Trade Commission before the ABA Section of Antitrust Law Fall Forum
More informationCPI Antitrust Chronicle May 2011 (1)
CPI Antitrust Chronicle May 2011 (1) Antitrust Markets and ACOs David A. Argue & John M. Gale Economists Incorporated www.competitionpolicyinternational.com Competition Policy International, Inc. 2011
More informationMaster of Health Administration
Master of Health Administration THE IMPACT OF CLINICAL INTEGRATION ON JOINT MANAGED CARE CONTRACTING AMONG INDEPENDENT PHYSICIANS MARC MERTZ Executive Master of Health Administration Candidate, 2011 University
More informationAccountable Care Organizations and Market Power Issues
Accountable Care Organizations and Market Power Issues October, 2010 Introduction Accountable care organizations (ACOs) have received significant attention since passage of the Patient Protection and Affordable
More informationStatements of Antitrust. in Health Care
Statements of Antitrust Enforcement Policy in Health Care Issued by the U.S. Department of Justice and the Federal Trade Commission August 1996 TABLE OF CONTENTS Introduction ~ 0 0 1 Statement 1 - Mergers
More informationGuidance Released on Accountable Care Organizations Participating in the Medicare Shared Savings Program
M A Y 2 0 1 1 Guidance Released on Accountable Care Organizations Participating in the Medicare Shared Savings Program On March 31, 2011, the Centers for Medicare & Medicaid Services (CMS), the Department
More informationPREPARED STATEMENT OF THE FEDERAL TRADE COMMISSION. Presented by David P. Wales Deputy Director Bureau of Competition Federal Trade Commission
PREPARED STATEMENT OF THE FEDERAL TRADE COMMISSION Presented by David P. Wales Deputy Director Bureau of Competition Federal Trade Commission before the COMMITTEE ON THE JUDICIARY UNITED STATES SENATE
More informationAmerican Health Lawyers Association and ABA Antitrust Section Antitrust in Healthcare Conference
American Health Lawyers Association and ABA Antitrust Section Antitrust in Healthcare Conference Antitrust and Healthcare Information Technology: Competing or Complementary Goals? Anthony W. Swisher Squire
More informationBAKER DONELSON BAKER S DOZEN
Thirteen Things Health Care Providers Should Know About Accountable Care Organizations and Health Reform Thomas E. Bartrum, 615.726.5641, tbartrum@bakerdonelson.com With passage of the Patient Protection
More informationPROPOSED MEDICARE SHARED SAVINGS (ACO) PROGRAM RULES
PROPOSED MEDICARE SHARED SAVINGS (ACO) PROGRAM RULES The Centers for Medicare and Medicaid Services (CMS) and other affected agencies released their notice of proposed rulemaking/request for comment for
More informationINTEGRATION STRATEGIES FOR A NEW HEALTH CARE ECONOMY
INTEGRATION STRATEGIES FOR A NEW HEALTH CARE ECONOMY Thomas William Baker Baker Donelson Bearman Caldwell & Berkowitz, P.C. Atlanta, Georgia (404) 221-6510 tbaker@bakerdonelson.com Prepared for East Georgia
More informationCMS Releases Proposed Rule Governing Accountable Care Organizations
CMS Releases Proposed Rule Governing Accountable Care Organizations Health Care Organizations Face Complex Strategic Decisions Authors: Robert D. Belfort Paul M. Campbell Susan R. Ingargiola Stephanie
More informationClinical Integration Defined
Antitrust and Accountable Care Organizations Arthur N. Lerner American Health Lawyers Association The Nuts and Bolts of Accountable Care: ACOs and Beyond March 29, 2011 Clinical Integration Defined Clinical
More informationfor Private Purchasers Engaged in Value Purchasing of Health Care
Anti-Trust Guidelines for Private Purchasers Engaged in Value Purchasing of Health Care Issued by Buying Value BUYINGVALUE Purchasing Health Care That s Proven to Work Tim Muris and Bilal Sayyed of Kirkland
More informationGoing Vertical: The Hospital-Health Insurer Merger. By Christi J. Braun 1 Farrah Short
Going Vertical: The Hospital-Health Insurer Merger By Christi J. Braun 1 Farrah Short In today s health care reform environment, efficient health care delivery, stemming soaring health care costs, and
More informationHow To Decide If An Aco Is A Merger Or A Non Merger
Portfolio Media. Inc. 860 Broadway, 6th Floor New York, NY 10003 www.law360.com Phone: +1 646 783 7100 Fax: +1 646 783 7161 customerservice@law360.com There Is Potential Federal Inconsistency Over ACOs
More informationLESSONS LEARNED FROM FTC INVESTIGATIONS AND CHALLENGES OF HEALTHCARE PROVIDER TRANSACTIONS
LESSONS LEARNED FROM FTC INVESTIGATIONS AND CHALLENGES OF HEALTHCARE PROVIDER TRANSACTIONS February 26, 2014 Gregory L. Baker, Pamela Jones Harbour, Jonathan L. Lewis, Lee H. Simowitz. Agenda Introductions
More informationAmy K. Fehn. I. Overview of Accountable Care Organizations and the Medicare Shared Savings Program
IMPLEMENTING COMPLIANCE PROGRAMS FOR ACCOUNTABLE CARE ORGANIZATIONS Amy K. Fehn I. Overview of Accountable Care Organizations and the Medicare Shared Savings Program The Medicare Shared Savings Program
More informationANTITRUST GUIDELINES FOR COLLABORATIONS AMONG COMPETITORS HAVE IMPACT ON E-COMMERCE VENTURES. By: Edward C. LaRose and Vincent B. Lynch 1 INTRODUCTION
ANTITRUST GUIDELINES FOR COLLABORATIONS AMONG COMPETITORS HAVE IMPACT ON E-COMMERCE VENTURES By: Edward C. LaRose and Vincent B. Lynch 1 INTRODUCTION To compete in global markets, U.S. companies that may
More informationM E M O R A N D U M. CMS Proposed Rule & Related Agency Notices on Accountable Care Organizations
1501 M Street NW Seventh Floor Washington, DC 20005-1700 Tel: 202.466.6550 Fax: 202.785.1756 M E M O R A N D U M To: From: Clients and Friends Powers Pyles Sutter & Verville, PC Date: April 10, 2011 Re:
More informationAntitrust Guidelines for Collaborations Among Competitors. Issued by the Federal Trade Commission and the U.S. Department of Justice
Antitrust Guidelines for Collaborations Among Competitors Issued by the Federal Trade Commission and the U.S. Department of Justice April 2000 ANTITRUST GUIDELINES FOR COLLABORATIONS AMONG COMPETITORS
More informationHot Buttons in Health Care Antitrust
Hot Buttons in Health Care Antitrust Arthur Lerner Crowell & Moring LLP Payors, Plans and Managed Care Law Institute American Health Lawyers Association Chicago, Illinois December 6-7, 2011 2011 Hot Spots
More informationEntities eligible for ACO participation
On Oct. 20, 2011, the Centers for Medicare & Medicaid Services (CMS) finalized new rules under the Medicare Shared Savings Program (MSSP) to help doctors, hospitals, and other health care providers better
More informationPUBLICATIONS, PRESENTATIONS & OTHER PROFESSIONAL ACTIVITIES
David Marx, Jr. David Marx, Jr. PUBLICATIONS, PRESENTATIONS & OTHER PROFESSIONAL ACTIVITIES PUBLICATIONS Books Antitrust and Healthcare: Meeting the Challenge, co-authored with James H. Sneed, published
More informationNew Healthcare M&A Developments
2010 American Health Lawyers Association June 04, 2010 Vol. VIII Issue 22 New Healthcare M&A Developments By Michael W. Peregrine and Ashley M. Fischer, McDermott Will & Emery LLP Health lawyers advising
More informationA Counsel s Guide to Antitrust Issues in B2B Exchanges
A Counsel s Guide to Antitrust Issues in B2B Exchanges W. Stephen Smith Morrison & Foerster LLP 2000 Pennsylvania Avenue, NW Suite 5500 Washington D.C. 20006 202-887-1500 ssmith@mofo.com Morrison & Foerster
More informationMedical Billing and Agreements For Health Care - A Primer
SMITH ANDERSON ACOs: Navigating The Legal Minefield Accountable Care Organizations ( ACOs ) hold great promise, but they are being placed upon a legal framework premised upon the fee-for-service health
More informationmore dangerous. One way that private entities may defend against cyber attacks is by
DEPARTMENT OF JUSTICE AND FEDERAL TRADE COMMISSION: ANTITRUST POLICY STATEMENT ON SHARING OF CYBERSECURITY INFORMATION Executive Summary Cyber threats are becoming increasingly more common, more sophisticated,
More informationIU Health Quality Partners
FREQUENTLY ASKED QUESTIONS 1) What is IU Health Quality Partners? It is a clinically integrated provider group; it is not a contracted health insurance plan network where physicians receive a set fee for
More informationDissenting Statement of Commissioner Joshua D. Wright In the Matter of Fidelity National Financial, Inc. and Lender Processing Services, Inc.
Dissenting Statement of Commissioner Joshua D. Wright In the Matter of Fidelity National Financial, Inc. and Lender Processing Services, Inc. FTC File No. 131-0159 December 23, 2013 The Commission has
More informationStatement of the Association of American Medical Colleges on Legal Issues Related to Accountable Care Organizations and Healthcare Innovation Zones
Statement of the Association of American Medical Colleges on Legal Issues Related to Accountable Care Organizations and Healthcare Innovation Zones Public Workshop hosted by the FTC, CMS, HHS OIG October
More informationLarge Urology Group Practice Association. Accountable Care Organizations
Large Urology Group Practice Association Accountable Care Organizations November 6, 2010 J. Phillip O Brien 312.902.5630 phillip.obrien@kattenlaw.com Basic Premise for ACOs Facilitate medical care coordination
More informationARNOLD PORTER LLP. Realcomp II, Ltd. ADVISORY
Commitment Excellence Innovation ADVISORY NOVEMBER 2009 FTC Outlines Analytical Approach to Section 1 Rule of Reason Cases: In re Realcomp II, Ltd. The Federal Trade Commission (FTC or Commission) recently
More informationA Closer Look at the Final ACO Rule
A Closer Look at the Final ACO Rule October 2011 For more information, please contact: On October 20th, the federal government released a final rule and other companion releases relating to Accountable
More informationHealth Care. ACO Payment Arrangements
Newsletter Health Care January 2014 North Carolina Accountable Care Organization Update This Bulletin provides an update on the development of Accountable Care Organizations (ACOs) in North Carolina through
More informationThe Next Chapter in Antitrust and Health Care: Health Insurance Mergers An ABA Program Summary
The Next Chapter in Antitrust and Health Care: Health Insurance Mergers An ABA Program Summary By Larissa C. Bergin 1 Jones Day As health insurance companies prepare for implementation of the Patient Protection
More informationDepartment of Justice
Department of Justice STATEMENT OF SHARIS A. POZEN CHIEF OF STAFF ANTITRUST DIVISION BEFORE THE SUBCOMMITTEE ON ANTITRUST, COMPETITION POLICY AND CONSUMER RIGHTS COMMITTEE ON THE JUDICIARY UNITED STATES
More informationRecent Developments and Emerging Trends: Antitrust, Accountable Care Organizations, and Prompt Pay Litigation
Recent Developments and Emerging Trends: Antitrust, Accountable Care Organizations, and Prompt Pay Litigation William M. Katz, Jr. and William L. Banowsky Hospital Mergers More frequent since enactment
More informationAmerican Polygraph Association. Antitrust Compliance Program
American Polygraph Association Antitrust Compliance Program Introduction The American Polygraph Association (APA) is a not for profit membership corporation incorporated under the laws of the District
More informationStructuring Medicaid Accountable Care Organizations to Avoid Antitrust Challenges
Structuring Medicaid Accountable Care Organizations to Avoid Antitrust Challenges Tara Adams Ragone I. INTRODUCTION Faced with increasingly inefficient, costly, poor quality, fragmented medical care for
More informationCLINICALLY INTEGRATED NETWORKS: BUSINESS AND LEGAL CONSIDERATIONS
CLINICALLY INTEGRATED NETWORKS: BUSINESS AND LEGAL CONSIDERATIONS Claire Turcotte, Esquire, Bricker & Eckler LLP Jim Yanci, MS MT (ASCP), Dixon Hughes Goodman Agenda BUSINESS CONSIDERATIONS How Fast are
More informationHealth Care Mergers and Acquisitions
AMGA Annual Meeting March 24, 2015 Health Care Mergers and Acquisitions The Legal Perspective Presented by Joseph N. Wolfe, Esq. Hall, Render, Killian, Heath & Lyman, P.C. 1 Today s Agenda Introductory
More informationCURRENT AND FUTURE MEDICAL HOME LEGAL ISSUES
CURRENT AND FUTURE MEDICAL HOME LEGAL ISSUES Presented by: Gerry Hinkley Co-Chair, Health Care Industry Team Pillsbury Winthrop Shaw Pittman gerry.hinkley@pillsburylaw.com Pillsbury Winthrop Shaw Pittman
More informationLegal Issues for Accountable Care Organizations
Legal Issues for Accountable Care Organizations Health Care Reform Strategies Bruce Merlin Fried, Esq. ACO Summit June 7, 2010 ACOs in PPACA The Basics Section 3022 of the Protection and Affordable Care
More informationDefining relevant market(s) product (parties overlapping products and close substitutes) and geographic (local, regional, national or global?
Overview of the Merger Review Process Scott P. Perlman Mayer Brown LLP The Conference Board Post Merger Integration Conference June 25, 2008 U.S. Merger Review Process Purpose of U.S. Federal Merger Review:
More informationOIG Open Letter Regarding the Self-Disclosure Protocol: Further Refinements
2009 American Health Lawyers Association April 17, 2009 Vol. VII Issue 15 OIG Open Letter Regarding the Self-Disclosure Protocol: Further Refinements By Ritu Kaur Singh, Frank E. Sheeder III, and Gerald
More informationSTATEMENT J. BRUCE MCDONALD DEPUTY ASSISTANT ATTORNEY GENERAL ANTITRUST DIVISION BEFORE THE COMMITTEE ON THE JUDICIARY UNITED STATES SENATE CONCERNING
STATEMENT OF J. BRUCE MCDONALD DEPUTY ASSISTANT ATTORNEY GENERAL ANTITRUST DIVISION BEFORE THE COMMITTEE ON THE JUDICIARY UNITED STATES SENATE CONCERNING EXAMINING COMPETITION IN GROUP HEALTH CARE PRESENTED
More information(Nov. 26, 2014), available at http://www.ftc.gov/news-events/press-releases/2014/11/ftc-puts-conditionspharmaceutical-joint-venture-between.
A Common Goal: The U.S. Federal Trade Commission s Healthcare Enforcement Program and Its Implications for ACOs Keynote Address Commissioner Julie Brill Sixth Annual Accountable Care Organization Summit
More informationRe: Proposed Statement of Antitrust Enforcement Policy Regarding ACOs Participating in the Medicare Shared Savings Program, Matter V100017
The Hon. Christine Varney Assistant Attorney General Antitrust Division U.S. Department of Justice 950 Pennsylvania Avenue, N.W. Washington, DC 20530 The Hon. Jon Leibowitz Chairman Federal Trade Commission
More informationACCOUNTABLE CARE ORGANIZATIONS: HOW ANTITRUST LAW IMPACTS THE EVOLVING LANDSCAPE OF HEALTH CARE
ACCOUNTABLE CARE ORGANIZATIONS: HOW ANTITRUST LAW IMPACTS THE EVOLVING LANDSCAPE OF HEALTH CARE ELIZABETH L. ROWE* Health-care costs are threatening to destroy the economy in the United States. More money
More informationPROCEDURAL FAIRNESS IN COMPETITION LAW ENFORCEMENT AND THE FTC EXPERIENCE
PROCEDURAL FAIRNESS IN COMPETITION LAW ENFORCEMENT AND THE FTC EXPERIENCE King s College, Centre of European Law London, United Kingdom October 23, 2015 Remarks of Commissioner Terrell McSweeny Good afternoon.
More informationWebinar: Next Generation ACO Implications: Impact of the New CMS ACO Model
Webinar: Next Generation ACO Implications: Impact of the New CMS ACO Model a HealthcareWebSummit Event, 1PM Eastern, Wednesday, April 22nd, 2015 Individual Registration Fee: $195. Post-Event Materials:
More informationBundled Payment and Health Care Reform
Bundled Payment and Health Care Reform A Users Guide to Current Legal Issues June 2012 Prepared by Gerald A. Niederman Shareholder, Health Care Practice Group, Law Firm Polsinelli Shughart, PC 303-583-8204;
More informationRule of Reason Analysis for Accountable Care Organizations
theantitrustsource w w w. a n t i t r u s t s o u r c e. c o m D e c e m b e r 2 011 1 Rule of Reason Analysis for Accountable Care Organizations Gregory J. Pelnar and Gretchen M. Weiss T The Centers for
More informationProvider Participation in ACOs May Hinge on HHS Regulations
Source: Health Law Reporter: News Archive > 2010 > 04/15/2010 > BNA Insights > Provider Participation in ACOs May Hinge on HHS Regulations Provider Participation in ACOs May Hinge on HHS Regulations 19
More informationCMS proposed rule on ACOs: http://www.gpo.gov/fdsys/pkg/fr-2011-04-07/pdf/2011-7880.pdf
April 7, 2011 Dear Physician Colleague: On March 31, 2011, the Centers for Medicare & Medicaid Services (CMS) issued its long awaited proposed regulations on the Medicare Shared Savings/Accountable Care
More informationDEPARTMENT OF JUSTICE
DEPARTMENT OF JUSTICE Statement of Christine A. Varney Assistant Attorney General Antitrust Division U.S. Department of Justice Before the Committee on the Judiciary United States Senate Hearing on Prohibiting
More informationMorning session on September 30, 2003 (reported on by Tracy Weir Madigan of Hogan & Hartson, L.L.P.) Sitesh Bhojani
Morning session on September 30, 2003 (reported on by Tracy Weir Madigan of Hogan & Hartson, L.L.P.) The morning session of the FTC/DOJ Hearings on Health Care and Competition Law and Policy on September
More informationA fter much-anticipation, the Health Resources and
BNA s Health Care Policy Report Reproduced with permission from BNA s Health Care Policy Report, 23 HCPR 1420, 09/21/2015. Copyright 2015 by The Bureau of National Affairs, Inc. (800-372-1033) http://www.bna.com
More informationCms Finally speaks: organization (ACO) proposed regulations and WhaT They mean For anesthesiologists
ANESTHESIA BUSINESS CONSULTANTS SUMMER 2011 VOLUME 16, ISSUE 2 Cms Finally speaks: The accountable Care organization (ACO) proposed regulations and WhaT They mean For anesthesiologists Since the passage
More informationMedicare ACO Road Map
PYALeadership Briefing Medicare ACO Road Map January, 2013 Medicare ACO Road Map The Centers for Medicare & Medicaid Services ( CMS ) has announced 106 new accountable care organizations ( ACOs ) have
More informationLook Before You Leap: Legal and Practical Obstacles with ACOs
Look Before You Leap: Legal and Practical Obstacles with ACOs Houston ACO Conference May 7, 2013 Edward Vishnevetsky, Esq. Coordinated Care and ACOs Coordinated Care Goal: ensure that healthcare providers
More informationAn Inside Look at Monopsony Issues in the FTC s Express Scripts-Medco Merger Investigation
An Inside Look at Monopsony Issues in the FTC s Express Scripts-Medco Merger Investigation By Rani Habash and John Scalf 1 Introduction After an intense eight-month investigation by the Federal Trade Commission
More informationFEDERAL TRADE COMMISSION. June 4, 2013
UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION WASHINGTON, D.C. 20580 Office of Policy Planning Bureau of Economics Bureau of Competition June 4, 2013 The Hon. Catherine Osten and the Hon. Peter Tercyak,
More informationThe Regulations Are Out: Is An ACO Right For You? Moderator David Pursell 816.983.8190 david.pursell@huschblackwell.com
The Regulations Are Out: Is An ACO Right For You? Moderator David Pursell 816.983.8190 david.pursell@huschblackwell.com Today s Discussion Overview of the ACO Regulations Alternatives to a Medicare ACO
More informationCOMMENTS OF THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM FACILITATING THE COMPETITIVE PROMISE OF TELEMEDICINE KAREN RHEUBAN, M.D.
COMMENTS OF THE UNIVERSITY OF VIRGINIA HEALTH SYSTEM FACILITATING THE COMPETITIVE PROMISE OF TELEMEDICINE KAREN RHEUBAN, M.D. Medical Director, Office of Telemedicine Director, Center for Telehealth Senior
More informationCLIENT MEMORANDUM. I. The Basics. June 18, 2013
CLIENT MEMORANDUM FTC v. Actavis: Supreme Court Rejects Bright Line Tests for Reverse Payment Settlements; Complex Questions Remain in Structuring Pharmaceutical Patent Infringement Settlements June 18,
More informationJune 6, 2011. Proposed Rule: Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations
June 6, 2011 Submitted Electronically: http://www.regulations.gov Attention: CMS-1345-P Centers for Medicare & Medicaid Services Department of Health and Human Services Room 445-G Hubert H. Humphrey Building
More informationMUSINGS ON PROFESSIONAL LIABILITY IMPLICATIONS OF ACOS
MUSINGS ON PROFESSIONAL LIABILITY IMPLICATIONS OF ACOS While we are still currently in the early stages of implementing Obamacare, we do know that the future of medicine will involve integrated healthcare
More informationALTERNATIVE PAYMENT MODEL (APM) FRAMEWORK
ALTERNATIVE PAYMENT MODEL (APM) FRAMEWORK Summary of Public Comments Written by: Alternative Payment Model Framework and Progress Tracking (APM FPT) Work Group Version Date: 1/12/2016 Table of Contents
More informationCPI Antitrust Journal October 2010 (1)
CPI Antitrust Journal October 2010 (1) Federal Courts and Enforcers Diagnose Physician Practice Associations with Risk of Conspiracy Liability: Degree of Integration is Crucial to Challenges to Medical
More informationBy Ross C. D Emanuele, John T. Soshnik, and Kari Bomash, Dorsey & Whitney LLP Minneapolis, MN
Major Changes to HIPAA Security and Privacy Rules Enacted in Economic Stimulus Package By Ross C. D Emanuele, John T. Soshnik, and Kari Bomash, Dorsey & Whitney LLP Minneapolis, MN The HITECH Act is the
More informationOHIO HOSPITAL ASSOCIATION 2015 Annual Meeting. Accountable Care Organizations Comprehensive Integration Strategy
OHIO HOSPITAL ASSOCIATION 2015 Annual Meeting Accountable Care Organizations Comprehensive Integration Strategy ACO Development Market Conditions Increasing Economic pressures Consumerism Regulatory scrutiny
More informationThe Rise of Narrow Networks: Opportunities, Risks and Legal Uncertainties
The Rise of Narrow Networks: Opportunities, Risks and Legal Uncertainties Prepared for: Nashville Council of Healthcare Attorneys Prepared by: Thomas Bartrum, Esq. Baker Donelson Deborah Farringer, Esq.
More informationADVANCE DIRECTIVE VOLUME 19 SPRING 2010 PAGES 306-315. The Effect of Medical Malpractice. Jonathan Thomas *
ANNALS OF HEALTH LAW ADVANCE DIRECTIVE VOLUME 19 SPRING 2010 PAGES 306-315 The Effect of Medical Malpractice Jonathan Thomas * I. INTRODUCTION: WHAT IS MEDICAL MALPRACTICE Every year, medical malpractice
More informationThe true meaning of ACO is Awesome Consulting Opportunities. - The Weekly Standard, 04/12/11. Consultants
Accountable Care Organizations: Proposed Regulations and the Local Landscape May 26, 2011 John Clark, MD, JD Isaac M. Willett Medical Director, Clinical i l Informatics Attorney Indiana University Health
More informationPhysician Prices, Fee Schedules, and Managed Care Contract Offer and Acceptance
Document #0010LS VISION: To improve the health of all Texans. MISSION: TMA supports Texas physicians by providing distinctive solutions to the challenges they encounter in the care of patients. TMA Division
More informationEC s Preliminary Pharmaceutical Sector Report: An Aggressive Review of Industry Conduct
FEBRUARY 2009, RELEASE TWO EC s Preliminary Pharmaceutical Sector Report: An Aggressive Review of Industry Conduct Susan A. Creighton & Seth C. Silber Wilson, Sonsini, Goodrich and Rosati EC s Preliminary
More informationEnglish - Or. English DIRECTORATE FOR FINANCIAL AND ENTERPRISE AFFAIRS COMPETITION COMMITTEE
For Official Use DAF/COMP/WD(2010)117 D A F/C O M P/ WD(2010)117 F or Of fic ia l U se Organisation de Coopération et de Développement Économiques Organisation for Economic Co-operation and Development
More informationPaging Providers, CMS Changes To Stark Law May Help You
Portfolio Media. Inc. 860 Broadway, 6th Floor New York, NY 10003 www.law360.com Phone: +1 646 783 7100 Fax: +1 646 783 7161 customerservice@law360.com Paging Providers, CMS Changes To Stark Law May Help
More informationOffice of Policy Planning, Federal Trade Commission (Sept. 24, 2007).
UNITED STATES OF AMERICA FEDERAL TRADE COMMISSION WASHINGTON, D.C. 20580 Office of Policy Planning Bureau of Economics Bureau of Competition February 14, 2008 The Honorable William J. Seitz Ohio Statehouse
More informationAccountable Care Organizations (ACOs)
Accountable Care Organizations (ACOs) Pantea Ghasemi, USC Pharm.D. Candidate 2015 Sarkis Kavarian, UOP Pharm.D. Candidate 2015 Preceptor Dr. Craig Stern Pro Pharma Pharmaceutical Consultants, Inc. April
More informationAntitrust/Competition & Marketing Law Bulletin
Antitrust/Competition & Marketing Law Bulletin February 2002 B2B Marketplaces and Canadian Competition Law Angela Di Padova and Douglas C. New, Toronto 1 Vancouver Toronto Montréal Québec City New York
More informationDETAILED SUMMARY--MEDCIARE SHARED SAVINGS/ACCOUNTABLE CARE ORGANIZATION (ACO) PROGRAM
1 DETAILED SUMMARY--MEDCIARE SHARED SAVINGS/ACCOUNTABLE CARE ORGANIZATION (ACO) PROGRAM Definition of ACO General Concept An ACO refers to a group of physician and other healthcare providers and suppliers
More information1. Would additional health care organizations be interested in applying to the Pioneer ACO Model? Why or why not?
February 28, 2014 Re: Request for Information on the Evolution of ACO Initiatives at CMS AMGA represents multi specialty medical groups and other organized systems of care, including some of the nation
More informationPayor Perspectives on Provider Realignment and ACOs
Payor Perspectives on Provider Realignment and ACOs Joel L. Michaels March 15, 2011 Overview Issues to be addressed Medicare Shared Savings Program overview ACO organization options Health care reform
More informationNATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. Briefing Paper on the Proposed Medicare Shared Savings Program
NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS Briefing Paper on the Proposed Medicare Shared Savings Program The Centers for Medicare and Medicaid Services (CMS) recently issued a proposed rule to implement
More informationValuations and M&A Activity Todd J. Mello, ASA, CVA, MBA
Valuations and M&A Activity Todd J. Mello, ASA, CVA, MBA Co-Founder and Partner Disclosures Co-founder and owner in HealthCare Appraisers, Inc. No ownership in private or publicly-traded hospital chains,
More informationAntitrust Enforcement in Health Care: Proscription, not Prescription
Antitrust Enforcement in Health Care: Proscription, not Prescription Fifth National Accountable Care Organization Summit Washington, DC June 19, 2014 Deborah L. Feinstein, Director Bureau of Competition,
More information