Buchanan’s depth of health care experience extends to ACOs (Accountable Care Organizations) and other alignment strategies.
The Center for Medicare and Medicaid Services (CMS) was authorized by the Patient Protection and Affordable Care Act (ACA) to create the Medicare Shared Savings Program (MSSP). This program allowed for the establishment of ACO contracts with Medicare. ACOs are accountable for both quality and per capital costs for their patients. Providers such as physicians, hospitals, clinics and home care services can participate in ACOs. And as participants, they are eligible to share a percentage of the savings they realize from their coordination.
While ACOs are relatively new entities, our team has been ahead of the curve on them from the beginning. We understand this complex area of law and can work with you on all ACO matters.
What makes us especially unique is that we help entities on both sides of an ACO. We have helped providers set up an ACO, and we have also helped third party payer insurance entities set up their product. Because of our bi-directional experience, we can anticipate issues that either side might raise.
Our healthcare attorneys also draw on the experience of professionals from across the firm, including our government relations practice, where we have relationships with CMS and other relevant agencies. These relationships allow us to offer you our unique insight. In addition, our experience in long-term care positions us well to help long-term care entities participate in ACOs.
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We can provide you with the following services related to ACOs: