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AHA Fears Tightening of Antitrust Restrictions Regarding ACOs
On January 3, the AHA noted in a response to a public request for comment that it was disappointed (PDF) in a little-noticed announcement from the Centers for Medicare & Medicaid Services (CMS) that it planned to tighten some ACO fraud-and-abuse waivers by narrowing legal definitions after two years of experience with the program.
Read the full story at: http://tinyurl.com/8xxdqw9
Source: Modern Healthcare
The AHA urged CMS to declare that it would only make material changes to the rules after a public notice-and-comment period. “ACOs should not be at risk for changes to the rules through obscure or little noticed issuances,” the AHA letter said.
Although observers roundly praised federal officials for loosening the antitrust and abuse rules on accountable care organizations (ACOs), the American Hospital Association (AHA) is protesting what it says are efforts by regulators to move back toward stricter enforcement over time.
Blister Packs May Help Solve Medication Adherence Challenges and Lower Health Care Costs
June 10th 2025Julia Lucaci, PharmD, MS, of Becton, Dickinson and Company, discusses the benefits of blister packaging for chronic medications, advocating for payer incentives to boost medication adherence and improve health outcomes.
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From MSSP ACOs to Employer Value: Translating Value-Based Principles to Self-Insured Plans
December 12th 2025Value-based care adoption in employer insurance requires replacing fragmented point solutions with unified, at-risk performance contracts that align vendors, providers, and members around total cost and quality goals.
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Legal Issues in Value-Based Care Contracts for Self-Insured Employers
December 12th 2025Self-insured employers face regulatory challenges when adopting value-based contracts, requiring careful data governance, standardized metrics, and legal frameworks to align with federal value-based care models.
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