Abbreviated Table of Contents
The Importance of Accountable Care Organizations
Hospital/Physician Integration Models Before PPACA
The Financial Aspects of Accountable Care Organizations
The Applied Medical Homes: A Recipe for Reform
Fraud & Abuse Waivers Under the Medicare Shared Savings Program
Tax Implications of Accountable Care Organizations
Health Information Technology Issues for ACOs
ACOs and Their Antitrust Implications
Certification and Licensure
Governance and Management
ACOs and State Insurance Laws
How State Law Issues May Affect Accountable Care Organizations
ACO Shared Savings Distribution/Physician Compensation
Physician Compensation Valuation in an ACO
ACOs and Post Acute Providers
Differences in Acute Care Models: Implications for Organizing Accountable Care Organizations
Specialty ACOs: Pediatric ACOs for Medicaid Patients
Beneficiary Assignment: For Whose Care Is the ACO Responsible?
It is the importance of accountable care organizations (ACOs), as much as the uncertainty about their future, that makes The ACO Handbook: A Guide to Accountable Care Organizations necessary for those grappling with the changes brought about by healthcare reform. The contributors to this handbook are among the best professionals in America today who are seriously considering what it will take to succeed under the new healthcare environment. Their astute observations about the legal issues, both novel and familiar, likely to be encountered by those contemplating ACO development will be useful to the reader no matter what role these organizations ultimately play in the reformed U.S. healthcare system.
About The Executive Editors: Peter A. Pavarini, Esquire, is a partner in the global law firm of Squire, Sanders & Dempsey LLP (US). He is the Co-Chair of his firm's multidisciplinary Health Reform Task Force and serves on the Board of Directors of the American Health Lawyers Association.
Charlene L. McGinty, Esquire, is a partner in the Atlanta office of McKenna Long & Aldridge LLP. She represents a broad range of healthcare providers and companies on a variety of matters and is on the Board of Directors of the American Health Lawyers Association.
Michael F. Schaff, Esquire, is the Chair of the Corporate and Healthcare Departments and shareholder of Wilentz, Goldman & Spitzer PA. Mr. Schaff is a member of the Board of Directors of the American Health Lawyers Association.
The Contributing Authors: Thomas E. Bartrum, Esquire
Elisabeth Belmont, Esquire
Rudolph M. Blumentritt, CPA/ABV, CVA
Mark A. Browne, M.D.
Timothy J. Cahill, Esquire
Lauren N. Haley, Esquire
Robert G. Homchick, Esquire
Travis F. Jackson, Esquire
Marilyn Lamar, Esquire
Alyson M. Leone, Esquire
Nathan Lutz, Esquire
Barbara L. Miltenberger, Esquire, R.N.
Kimberly A. Mobley
Jan E. Murray, Esquire
David R. Pearl, Esquire
Glenn P. Prives, Esquire
Toby G. Singer, Esquire
Harvey M. Tettlebaum, Esquire
Danielle L. Trostorff, Esquire
John R. Washlick, Esquire