About This Blog
The Network Advantage blog is the main channel that we use to let Clinical Integration Project participants know about upcoming events, new tools and research, etc.
Joining this blog's subscriber list is the easiest way to read our insights and learn about new Clinical Integration Project events. Subscribe today by highlighting "Your Preferences" in the navigation bar at the top of the page, clicking on "My Subscriptions," and checking the box next to "Clinical Integration Project" under the "Blogs and Project" section. You can also reach the "My Subscriptions" page here.
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- Email me at oharas@advisory.com with anything you would like to see included.
As always, please email or call us if there is anything we can do to assist!
Sarah O'Hara
oharas@advisory.com
202-266-5819
Recent Posts
on April 28, 2011 |
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Topics: Clinical Integration, Hospital-Physician Alignment, Physician Issues, Payer and Regulatory Policy, Revenue Cycle, Finance
Sarah O'Hara, Health Care Advisory Board
It's been nearly a month since CMS released its draft rule for the Medicare Shared Savings Program (SSP), and as the initial reporting frenzy dies down, this seemed like a good time to share some thoughts on what the regulations could mean for Clinical Integration (CI) programs. The rule provides an important roadmap for clinically integrated physician networks looking to transition toward accountable care organizations (ACOs) and highlights areas where even well-established CI networks may need to add capabilities in order to qualify. This post discusses six key takeaways for CI programs hoping to participate in the SSP.
Continue reading:
The shared savings rule: Six lessons for CI programs
on April 7, 2011 |
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Topics: Clinical Integration, Hospital-Physician Alignment, Physician Issues, Payer and Regulatory Policy, Revenue Cycle, Finance
Sarah O'Hara, Health Care Advisory Board
As most are probably aware, the Centers for Medicare and Medicaid Services (CMS) last week issued its proposed rules for the Medicare Shared Savings Program, defining criteria for groups hoping to become accountable care organizations (ACOs). And as you may also know, the Federal Trade Commission (FTC) and Department of Justice (DOJ) concurrently issued a new policy on antitrust enforcement of those ACOs. Our team is still combing through the many pages of ACO-related regulations to pull out the insights most relevant to Clinical Integration (CI) programs, but wanted to pass along some of our early observations about the impact of the new antitrust policy.
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Early Thoughts on the New FTC/DOJ Policy for ACO Antitrust Enforcement
on March 24, 2011 |
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Topics: Clinical Integration, Hospital-Physician Alignment, Physician Issues, Payer and Regulatory Policy, Revenue Cycle, Finance
Sarah O'Hara, Health Care Advisory Board
Historically, the legal discussion around clinical integration (CI) has been dominated by the Federal Trade Commission (FTC), even though that agency technically shares jurisdiction over antitrust law with the Department of Justice (DOJ). But two recent articles--including one in the New York Times--hint that as implementation of the health care reform legislation moves forward, the DOJ may look to assume a greater role in antitrust enforcement of provider collaborations, with some attorneys claiming that such a shift could paint a more favorable antitrust outlook for physicians and hospitals.
Continue reading:
DOJ vs. FTC: Will One Have a Larger Role in ACO Antitrust Enforcement?
