12 Organizations Offering CMS Recommendations on ACOs

The following 12 organizations recently offered feedback and recommendations on the structure, principles and criteria for accountable care organizations.

1. AMA Lists 6 Ways to Help Independent Physicians Form ACOs
In a letter to CMS, the AMA listed six ways to help independent physicians form accountable care organizations.

2. Premier Offers ACO Recommendations to CMS
Premier healthcare alliance wrote a letter to CMS with recommendations for ACOs, including the immediate allowance of multiple payment models.

3. Federation of American Hospitals Objects to NCQA Draft Criteria for ACOs
Draft criteria for accountable care organizations from the National Committee for Quality Assurance are "burdensome and overly prescriptive," according to a letter to CMS from the Federation of American Hospitals.

4. AMGA Offers Feedback to NCQA's 2011 ACO Criteria
The American Medical Group Association released comments on the National Committee for Quality Assurance’s 2011 draft of accountable care organization criteria, saying a multi-tiered structure may dilute ACO efforts and limit their success.

5. Premier Healthcare Alliance Offers Feedback to 2011 ACO Criteria
Premier healthcare alliance, which serves more than 2,400 hospitals, offered feedback on the National Committee for Quality Assurance's 2011 draft of accountable care organization criteria, saying accreditation should focus on outcomes rather than structure.

6. 15 Suggestions for Implementing ACOs from New AHA Letter to CMS
In a Nov. 17 letter to CMS, the AHA outlined 15 principles and themes that should guide implementation of accountable care organizations.

7. AHA Shows How 4 Key Federal Enforcement Laws Impair ACOs
Four major federal enforcement laws, from the antitrust law to the anti-kickback law, will impede efforts by hospitals and other providers to create accountable care organizations, the AHA stated in a letter to CMS, the Federal Trade Commission and the HHS Inspector General.

8. 10 Key Requirements Health Insurers Want CMS to Put on ACOs
In a letter to CMS, America's Health Insurance Plans, representing the health insurance industry, recommended federal regulators place a series of extra requirements on accountable care organizations.

9. AMA Opposes Attributing Beneficiaries to an ACO After Care Has Begun
In a letter to CMS, the AMA opposed the agency's option of attributing Medicare beneficiaries to an accountable care organization after care has been delivered, called retrospective attribution.

10. AMA Proposes Four ACO Payment Systems in Addition to Shared Savings
In a recent letter to CMS covering a variety of implementation issues for accountable care organizations, the AMA proposed four payment systems for ACOs in addition to the shared savings approach, based on fee-for-service payments, that was outlined in the healthcare reform law.

11. Four Medical Associations Release Joint Principles for ACOs
Four primary care medical associations — American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians and American Osteopathic Association — released their joint principles for accountable care organizations.

12. American Nurses Association Says Nurses Should be Prioritized in ACOs
The American Nurses Association offered CMS feedback on accountable care organizations, saying nurses should be a priority in the new model.

Read more about ACOs:

- Attracting Primary Care Providers to Your ACO: 4 Considerations

- 5 Key Financial Challenges Hospitals Face Under ACOs, Other New Payment Arrangements

- 6 Keys to Successfully Fitting Healthcare Information Technology Into Accountable Care Organizations


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