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ACO regulations: Some answers, more questions. |
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NEJM (Iglehart): The proposed regulations are a work in progress, and they raise almost as many questions as they answer. CMS has requested comments on almost every major provision of the rule and granted interested parties 60 days (until June 6) to respond. Key questions relate to many dimensions of the delivery system, whether the care is provided by medical groups, faculty practice plans, or ACO-aligned physicians practicing in affiliated hospitals.4,5 For instance, how will CMS calculate savings when the time comes? How will CMS feed timely data to ACOs to track cost and quality trends? How will ACOs be designed to avoid running afoul of the antitrust laws? And how likely is it that very few medical groups will actually apply for ACO status because most are persuaded that the risks outweigh the possible benefits?
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