ACO Proposed Rule: Over 90 Percent of Commercial Payer RFI Suggestions Incorporated

Payers implementing commercial ACOs should benefit from proposed rule

EMERYVILLE, Calif., April 4, 2011 /PRNewswire/ -- The proposed rule for the Medicare Shared Savings Program for accountable care organizations (ACOs) issued by the Department of Health and Human Services on March 31, 2011 contains the vast majority of the provisions sought by the health insurance lobby, a MedeAnalytics analysis concluded.

(Logo:  http://photos.prnewswire.com/prnh/20100621/SF23660LOGO)

"The proposed rule positively addresses many of the concerns the major payer organizations expressed in their responses to the Nov. 17, 2010 CMS' ACO request for information. It bodes well for private-sector efforts to establish similar initiatives transforming the healthcare system," said Dan West, product marketing manager and member of MedeAnalytics' healthcare policy team.

The "ACOs and Leading Healthcare Constituencies: Winners and Losers" analysis is included in MedeAnalytics' white paper, "Accountable Care Organizations: Summary and Analysis of the Proposed Rule," available at the company's Accountable Care Organization Resource Center.

About ACOs

While the ACO label has been around since 2006, it was mentioned in numerous healthcare reform bills proposed in 2009 and was ultimately included in Section 3022 of the Patient Protection and Affordable Care Act (ACA) as the Medicare Shared Savings Program. The ACA's ACO provision covers Medicare ACOs. The Shared Savings Program is a new approach to the delivery of healthcare aimed at: (1) better care for individuals; (2) better health for populations; and (3) lower growth in expenditures.

About MedeAnalytics

Founded in 1994, MedeAnalytics delivers performance management solutions across the healthcare system—including hospitals, physician practices and payers—to ensure accountability and improve financial, operational and clinical outcomes. For more information, visit www.medeanalytics.com.

For more information:

MedeAnalytics, Inc.

Bruce Lewis

5858 Horton Street, Suite 475

Lewis & Summers Public Relations

Emeryville, CA  94608

(707) 813-1197


[email protected]




SOURCE MedeAnalytics

Suggested Articles

The Federal Trade Commission issued orders to five health insurance companies and two health systems seeking data to study the effects of COPAs.

An influential group of Republican lawmakers released its latest healthcare plan, which closely resembles prior Affordable Care Act repeal efforts.

An ACA public option could lead to lower premiums for commercial plans by sparking more competition, an analysis found.