The Centers for Medicare & Medicaid Services ("CMS") released a final rule ("Final Rule") on the Medicare Shared Savings Program ("MSSP") (Fed. Reg. Vol. 80, No. 110, 32692-32845), which contained good news for accountable care organizations ("ACOs"). Not only did the Final Rule incorporate informal guidance that CMS had previously issued, it also responded to many of the comments provided during the comment period, most notably the ability for ACOs to continue for one more contract cycle in a shared savings agreement (called Track 1 by CMS). Previously, ACOs would have had to accept downside financial risk if they were continuing in the MSSP and entered into a Track 2 agreement. In the press release and fact sheet accompanying the Final Rule, CMS highlighted its "support for the care provider community in creating a delivery system with better care, smarter spending, and healthier people."
The Final Rule continues the existing MSSP model in which providers and suppliers participating in ACOs receive traditional Medicare Parts A and B fee-for-service payments and are eligible to receive shared savings if certain quality and savings targets are met. The Final Rule added the following changes to improve the program:
The Final Rule also clarified and formalized prior guidance in a number of areas, including requirements related to:
On September 20, Susan Huntington presented during an educational call-in discussion, "Insurance and Coverage Risk Management Approaches to Address the Opioid Crisis," for the American Health Lawyers Association (AHLA).
Day Pitney was a presenting sponsor of the 14th Annual Women of Innovation Awards gala, presented by the Connecticut Technology Council and held at the Aqua Turf Club in Southington, CT.
Erin Magennis Healy, Lori J. Braender and Thomas A. Zalewski authored an article, "A Provider's Guide to Managing a Medical Device Recall," which was published in the American Health Lawyers Association Journal of Health & Life Sciences Law.
Day Pitney Alert
Susan Huntington and Danielle Corcione will present an educational call-in discussion, "The Focus on Individuals in Fraud Investigations and Considerations for D&O Insurance," for the American Health Lawyers Association on November 9 from 11 a.m. to 11:45 a.m.
Day Pitney Press Release
Day Pitney's recently updated HIPAA self-assessment tool was featured in an article published in Clinical Lab Products magazine.
Day Pitney Press Release
Susan Huntington and Eric Fader were quoted in an article, "Growing HIPAA Focus Leads To Fresh Compliance Options," published in Law360.
Day Pitney LLP is pleased to announce the availability of its updated HIPAA Self-Assessment Tool 2.0 ("Tool"), designed to provide an easy and cost-effective way for organizations to perform a self-assessment of HIPAA compliance based on the U.S. Department of Health and Human Services' Office for Civil Rights ("OCR") expanded audit protocol.