Accountable care organizations: Implications for antitrust policy
نویسنده
چکیده
Introduction T his analysis examines accountable care organizations (ACOs) and assesses their implications for antitrust policy. Consideration of the antitrust implications of ACOs is timely. Both the House and Senate health reform measures contemplate the creation of ACOs as a new class of Medicare provider while providing parallel legal authority under Medicaid. It also is possible that using existing law, the Obama administration might launch ACOs on a pilot demonstration basis. We begin with a brief overview of the ACO concept and describe legislative proposals to establish ACOs as a formal Medicare and Medicaid provider class subject to special payment rules. We then examine antitrust policy as it relates to clinical and financial integration in health care and consider how antitrust principles might facilitate the formation and operation of ACOs.
منابع مشابه
FEDERAL TRADE COMMISSION DEPARTMENT OF JUSTICE Antitrust Division Statement of Antitrust Enforcement Policy Regarding Accountable Care Organizations Participating in the Medicare Shared Savings Program
1 Health Care and Education Reconciliation Act of 2010, Public Law 111–52, 124 Stat. 1029 (2010); Patient Protection and Affordable Care Act, Public Law 111–48, 124 Stat. 119 (2010). 2 As used in this document, ‘‘ACO’’ refers to Accountable Care Organizations under the Medicare Shared Savings Program, which also may operate in commercial markets. Patient Protection and Affordable Care Act 3022,...
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