Federal Regulations

Final Rule: Accountable Care Organizations

For publication in the November 2, 2011 Federal Register, final rule implementing section 3022 which contains provisions relating to Medicare payments to providers of services and suppliers participating in Accountable Care Organizations under the Medicare Shared Savings Program.  

Chart Comparing the Proposed Rule with the Changes in the Final Rule

Interim Final Rule: Final Waivers in Connection With the Shared Savings Program

Advance copy of interim final rule with comment period that establishes waivers of the application of the Stark law, the anti-kickback statute, and certain civil monetary penalties law provisions to specified arrangements involving accountable care organizations.


Federal Agency Guidance

Guidance Will Help Health Care Providers Form Procompetitive ACOs and Protect Health Care Consumers from Higher Prices and Lower Quality Care

October 20, 2011 news release and link to statement of antitrust enforcement policy regarding Accountable Care Organizations from the Department of Justice and FTC.

Making Good on ACOs' Promise — The Final Rule for the Medicare Shared Savings Program

October 20, 2011 article in the New England Journal of Medicine by Donald M. Berwick, M.D. on finalization of the federal regulations for ACOs.

Notice: Advanced Payment Model

CMS notice announcing the testing of the Advance Payment Model for certain accountable care organizations participating in the Medicare Shared Savings Program scheduled to begin in 2012, and providing information about the model and application process. For publication in the November 2, 2011 Federal Register.

IRS: Tax-Exempt Organizations Participating in the Medicare Shared Savings Program through Accountable Care Organizations

October 2011 IRS fact sheet on tax-exempt organizations and ACOs.

New Affordable Care Act Tools Offer Incentives for Providers to Work Together When Caring for People with Medicare

October 20, 2011 news release from healthcare.gov on the ACO rules and guidance.