AHLA The ACO Handbook: A Guide to Accountable Care Organizations, Second Edition (Non-Members)

American Health Lawyers Association

Publisher : American Health Lawyers Association

AHLA The ACO Handbook: A Guide to Accountable Care Organizations, Second Edition (Non-Members)

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  • Format: Softbound, Print Book ISBN: 9781632820686


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  • Format: Electronic book: epub ISBN: 9781632820709


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Table of Contents Author/Contributors
Table of Contents

1   The Growth and Importance of Accountable Care Organizations
2   Hospital/Physician Integration Models Before the ACA
3   The Financial Aspects of Accountable Care Organizations
4   The Applied Medical Home: A Recipe for Reform
5   ACOs: Fraud & Abuse Waivers and Analysis
6   Tax Implications of Accountable Care Organizations
7   Health Information Technology Issues for ACOs
8   ACOs and Their Antitrust Implications
9   Performance/Quality
10   Certification and Licensure
11   Governance and Management
12   ACOs and State Insurance Laws
13   How State Law Issues May Affect ACOs
14   Merit-Based Savings Distribution Models for Accountable Care Organizations
15   Physician Compensation Valuation in an ACO
16   Capital Formation and Value Metrics of ACOs
17   Post-Acute Providers
18   ACOs at Academic Medical Centers
19   Specialty ACOs: Pediatric ACOs for Medicaid Patients
20   Beneficiary Assignment: For Whose Care Is the ACO Responsible?
21   ACO Compliance Planning: Considerations and Opportunities in an Emerging Regulatory Environment
22   Commercial Accountable Care Organizations: Experimentation and Best Practices
23   Accountable Care Organizations in the Medicaid Context: A Sixteen State Comparison
24   ACO Best Practices
25   Private Payer and Physician Perspectives on ACO Collaborations
26   ACO Credentialing

About the Author

American Health Lawyers Association (AHLA)

Leading health law to excellence through education, information, and dialogue, the American Health Lawyers Association (AHLA) is the nation's largest, nonpartisan, 501(c)(3) educational organization devoted to legal issues in the healthcare field. AHLA provides a wide variety of resources to address the issues faced by law firms, government, in-house counsel and academia and those who represent the entire spectrum of the health industry.

The ACO Handbook: A Guide to Accountable Care Organizations

Peter A. Pavarini, Charlene L. McGinty, and Michael F. Schaff, Executive Editors
Mark L. Mattioli, Coordinating Editor

Gregory D. Anderson
Peggy L. Barlett
Clifford E. Barnes
Troy A. Barsky
Thomas E. Bartrum
Elisabeth Belmont
Julian D. "Bo" Bobbit, Jr.
Timothy J. Cahill
Michelle E. Calloway
Robert James Cimasi
Sarah S. Fallows
Robert A. Gerberry
Jenny E. Gladieux
David W. Grauer
Lauren N. Haley
Rick L. Hindman
Robert G. Homchick
Travis F. Jackson
John M. Kirsner
Teresa Koenig
David E. Kopans
Marilyn Lamar
Kelly A. Leahy
Alyson M. Leone
Kim Harvey Looney
Daniel C. Lyons
Grace D. Mack
Mary C. Malone
Charlene L. McGinty
David W. McMillan
Thomas E. Miller
Kimberly A. Mobley
Rodney A. Myer
M. Daria Niewenhous
Peter A. Pavarini
David R. Pearl
Craig Pederson
Glenn P. Prives
Martie Ross
Michael F. Schaff
Thomas N. Shorter
Toby G. Singer
Donald B. Stuart
Sarah E. Swank
Elizabeth E.H. Trende
Danielle L. Trostorff
Claire M. Turcotte
John R. Washlick
Stephen M. Weiner
Keith Wright lll
Todd A. Zigrang


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It is the importance of accountable care organizations (ACOs), as much as the uncertainty about their future, that makes the Second Edition of 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.

Since the passage of the Affordable Care Act, many health care opinion leaders have predicted that the ACO may be one of the most significant transformative aspects of health care reform. The ACA directed the Centers for Medicare & Medicaid Services to experiment with ways to employ high-performance provider organizations to deliver comprehensive care to a specific group of patients over an event, an episode, or a lifetime, while assuming responsibility for the clinical and financial outcomes of that care.

This new health care delivery method will require a level of cooperation and joint decision making that has often been lacking in traditional health care organizations. AHLA is pleased to bring you this greatly expanded and comprehensive second edition of The ACO Handbook: A Guide to Accountable Care Organizations.

The book analyzes various components of an optimized delivery system, and examines issues ranging from the financial aspects of ACOs to the unique nature of academic medical center, pediatric, and commercial ACOs.

The eBook versions of this title feature links to Lexis Advance for further legal research options.