One of the most controversial provisions of the proposed rule for accountable care organizations is the "retrospective attribution" of patients. Under the rules, an ACO would only learn the identity of the Medicare patients assigned to it after the fact.
Speaking at the annual conference of the Health Care Financial Management Association in Orlando, Nicholas Wolter, M.D., said he hopes that regulators will reverse their policy on this aspect of ACO management. "If patients feel like they are part of something, we would have higher success," he said during his presentation. Wolter is CEO at Billings (Mont.) Clinic, an integrated delivery system that includes a hospital and group practice.
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