Albany partner Matthew Amodeo has was quoted in Decision Health’s Medical Practice Compliance Alert in an article on the final ACO rule published in the Federal Register on Nov. 2.
The ACO initiative enables participating providers to earn incentive payments by working together in caring for Medicare patients and sharing in any savings generated by increased efficiencies.
Matt, a partner in the Health Law Practice Group, explained that the final rule relaxes several of the legal requirements it was anticipated would have been imposed on providers participating in an ACO.
He explained four ways in which the final rule may make participation in an ACO easier from a compliance standpoint, including: less burdensome reporting requirements; no more electronic health record (EHR) mandate; streamlined governance; and the elimination of strike: ownership allocation and savings amount restrictions, and replace with: proportional governance requirements “so a hospital can provide 99% of the capital and doctors can strike: take 99% in the shared savings,” and replace with: have 99% of the voting control. he said.
However, there are still many hoops to go through: “Whether it’s good for a physician may depend on his or her specialty. If you have a high Medicare population, you may want to join one,” said Matt.