Clinical Integration

The Department of Health and Human Services Office of Inspector General (OIG) released a proposed rule on Oct. 3 that would add new safe harbors to the anti-kickback statute (AKS) and exceptions to certain civil monetary penalty (CMP) provisions.
This AHA/HRET guide explains the value of integrating physical and behavioral health services and the importance of measuring integration efforts.
AHA seeks to ensure that state-action doctrine is applied in a manner that does not impede the valuable work of Americas public hospitals.
Medicare Shared Savings Program Powerpoint Presentation
On October 20, the Centers for Medicare & Medicaid Services (CMS) released the much-anticipated final regulation for the Medicare Shared Savings Program (MSSP), which encourages the voluntary formation of accountable care organizations (ACOs).
On October 20, CMS released a final regulation (ACO rule) governing the creation of accountable care organizations (ACOs) under the Medicare Shared Savings Program (ACO program). This rule is described in detail in a companion regulatory advisory.