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Accountable Care Organizations

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A key component of healthcare reform is  the  support received by innovative delivery models to improve the coordination of care for Medicare patients. Accountable Care Organizations (ACOs) have been the most widely publicized of these new models. Recognizing the significance of this new model for integrated care delivery, Waller has underwritten proprietary research on the response to ACOs within the healthcare industry and conducted numerous programs and seminars on the topic, a number of which were in partnership with Modern Healthcare. In addition, we are helping our clients create a number of relationships that, while not designed to participate in the Medicare shared savings program, focus on coordinating care, whether through bundled payment programs or other innovative models.

Our healthcare clients rely on our vast experience in regulatory and operational matters when evaluating the issues and opportunities related to forming and participating in both Medicare and private-payor ACOs. As the industry moves into the post-PAPACA era, Waller is actively engaged in assisting providers address issues that are critical to their business model and how they care for their patients, including:

  • Formation, operation and governance
  • Contracting with participants
  • Data sharing and patient privacy issues
  • Stark and anti-kickback compliance
  • Tax-exemption issues
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