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Monday, October 24, 2011


When the Centers for Medicare & Medicaid Services (CMS) released its draft rule for the Medicare shared-savings accountable care organizations (ACOs) earlier this year, the document was roundly panned by physician groups as unworkable, impractical, and unaffordable. Some observers think CMS was listening. “After a preliminary review, the AMA believes this final rule includes a number of positive changes,” said American Medical Association President Peter Carmel, MD. The American College of Cardiology and American Medical Group Management Association also had good first impressions of the rule. Other reviewers say the new rule is still way too proscriptive, gives hospitals too much power, and doesn’t address other fundamental flaws in the concept. Stay tuned for our take on the final rule and guidance on moving forward.

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