The final accountable care organization rule released last week by the Centers for Medicare and Medicaid Services differs significantly from the proposed rule. Health Data Management has asked two regulatory experts to analyze key points in the rule and explain their impact to groups vying for ACO designation, during a free Web seminar on Oct. 27.
Bruce Merlin Fried and Mark Hamelburg, from the law firm SNR Denton, will provide listeners with an explanation of the new requirements, including the advanced payment model, waivers for self-referral and anti-kickback laws, and changes in quality performance measures established by the rule.
Fried, a partner in SNR Denton’s Health Care and Public Law and Policy Strategies practice, formerly served as director of the CMS Center for Health Plans & Providers, where he was responsible for policy and operations for the Medicare program. Prior to that he was director of HCFA's Office of Managed Care and has more than three decades of experience in health care law and policy, both in the public and private sectors.
Hamelburg is a senior counsel at SNR Denton and a member of the firm’s Health and Life Sciences sector team. He has served in senior roles at CMS and the Department of Health and Human Services, and focuses on payment policies, compliance plan obligations, CMS reporting requirements, enrollment and disenrollment rules and, coordination of benefits, among other areas.
The live Web seminar is scheduled for this Thursday at 2 p.m. Eastern. To register for the event, click here.
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