ACOs and Bundled Payments

The healthcare industry is experiencing immense change in reimbursement and payment models. HDJN attorneys have extensive expertise with all types of Medicare and commercial accountable care organizations (“ACOs”), including Pioneer, Advanced Payment, Medicare Shared Savings Program (“MSSP”), Next Generation, and oncology care, as well as Bundled Payment Care Initiatives (“BPCI”). A number of our clients have active and successful service lines involving commercial ACOs and acute care payments. We have successfully assisted our clients in navigating their business objectives through regulatory and legal obstacles or impediments.

Whether through the Center for Medicare & Medicaid Innovation (“CMMI”), the Affordable Care Act, CMS, or the commercial environment, HDJN attorneys have developed expertise and insights to assist clients with virtually all modern and evolving payment models. We have represented clients in the development of risk-based contracting, direct to employer contracting, application to the MSSP and commercial ACO programs, bundled payments, obtaining NCQA designation and other value-based payment models.

ACO, Bundled Payment and Related Services:

  • Accountable Care Organizations
  • Bundled Payments
  • Patient Centered Medical Homes
  • Model Design, Development and Implementation
  • Distribution Models
  • Quality Metrics
  • Governance
  • Provider Alignment
  • Network Development
  • Clinical Integration
  • Financial Integration
  • Federal and State Regulatory Compliance
  • Tax Exemption
  • Information Technology

Contact:

James (Jim) M. Daniel
James (Jim) M. Daniel