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Upcoming federal regulatory policy initiatives focused on improving health care quality and value will shape future physician/hospital integration projects. The federal government is becoming increasingly committed to enhancing healthcare quality by linking healthcare payment to quality and value and expanding the use of health information technology. Accountable Care Organizations (?ACO?s), a new model of physician/hospital integration, will enable physicians and hospitals to maximize the opportunities such new federal policy presents. Issues to be discussed will include: -Healthcare reform and the dynamics of the marketplace moving toward ACO?s and clinical integration -Improving the Quality and Efficiency of Health Care -Accountable Care Organizations and other approaches to bundled payments -Initiating a clinical integration and/or an ACO project -New and evolving models of physician/hospital integration -Legal issues and implications of forming an ACO, including who can form an ACO and related contracting requirements. -Reimbursement under an ACO model, who gets what, including bonuses and incentive payments. -Data reporting, including costs, reimbursement received, and quality metrics.
Paul DeMuro Paul Katz
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