Healthcare Intelligence Network
Accountable Care Organizations
Best Sellers
Behavioral Healthcare
Bundled Payment
Care Coordination
Care Transitions
Case Management
Chronic Care Management
Coming Soon
Community Health
Cultural Diversity
Data Analytics
Diabetes Management
Disease Management
Dual Eligibles
Emergency Medicine
Health Literacy
Health Risk Assessments
Health Risk Stratification
Healthcare Reform
Healthcare Trends
HIN Benchmark Reports
HIN Case Studies
Home Health
Home Visits
Hospital Readmissions
Infection Control
Information Technology
Long-Term Care
Managed Care
Medical Home
Medical Neighborhood
Medical Practice
Medical Records
Medication Adherence
Nurse Management
Palliative Care
Patient Engagement
Patient Experience
Patient Registry
Pay for Performance
Physician Practice Transformation
Physician Organizations
Physician Quality Reporting Initiative
Population Health Management
Post-Acute Care
Predictive Modeling
Quality Improvement
Remote Patient Monitoring
Revenue Cycle Management
Social Health Determinants
Training DVDs
Value-Based Reimbursement
What's New
Subscribe to the Free
'Healthcare Business Weekly Update' e-Newsletter and receive the latest trends, news and analysis in healthcare.

Click here to view this week's issue
Home > e-Books
Roadmap to the ACO Rule: 25 Key Considerations from CMS's Proposal for Accountable Care Organizations
Roadmap to the ACO Rule: 25 Key Considerations from CMS's Proposal for Accountable Care Organizations
Be the first to review this item
Your Price:
Choose Format and Quantity
Format Recommended: Print & Instant PDF Download
Instant PDF Download
Save on Multi-User PDFs*
Quantity Price Per Copy
2-5 $57.85
6-10 $48.95
11-25 $22.25
Contact us for multiple print pricing or to order 25+ copies.
Add to Wish List

Like the convenience of an instant PDF download but still want a hard copy of this book? Order both and save 35 percent!

Embedded within the 400-plus pages of the Centers for Medicare and Medicaid Services' proposed rule for its Medicare Shared Savings Program are a few dozen key considerations for healthcare organizations evaluating the ACO opportunity.

Roadmap for the ACO Rule: 25 Key Considerations from the CMS Proposal for Accountable Care Organizations extracts 25 common sense factors to consider while weighing participation in an accountable care organization (ACO) — whether as a healthcare provider or private payor.

This 22-page quick reference is a response to the proposed ACO rule issued by CMS, in which Greg Mertz, senior project director with the Healthcare Strategy Group, cuts to the heart of the public payor's proposal and addresses the most common FAQs generated by the controversial proposed rule.

While this resource has been developed and timed to assist organizations in assessing the proposal, it is also a useful primer on the ACO integrated health delivery model that should be shared with staff and decision-makers.

This abridged look at the CMS proposal addresses the following concerns:

  • Will ACOs really be up and running by January 1, 2012?
  • When does an ACO make sense?
  • Who's eligible to join?
  • What's the time commitment and what happens if you decide an ACO is not for you?
  • What are the steps to formation?
  • What are the guidelines for governance and structure?
  • Who is going to lead the ACO and what are the qualifications of those individuals?
  • How much money is going to be required for ACO startup?
  • How will savings be divided and shared?
  • What's the learning curve?
  • What are the risks?
  • How long before ROI is realized?
  • What is the anti-ACO model and is this a better option for your organization?
  • What is an ACO's defense in a competitive market?
  • What are the business opportunities for commercial payors?
  • What are the pros and cons of ACO risk tracks?
  • Who will lead ACOs?
  • How do you assess an ACO before joining?
  • Why is patient satisfaction important in the ACO Model?
  • What constitutes ACO culture change?
  • What new roles are needed for practice and hospital staff?
  • How will the rule impact developing ACOs?
  • Are there alternatives to ACOs?
  • What are physician staffing requirements in an ACO?
  • Whos likely to succeed in an ACO?
  • What are the ACO's legal hurdles and challenges?

Table of Contents

  • Assessing ACO Business Opportunities in the Medicare and Commercial Markets
    • Key Elements of the ACO Rule
    • Governance and Structure
    • Attribution in an ACO
    • The Two ACO Risk Models
    • Understanding the Application Process
    • Opportunities for Commercial Payors
    • Steps to ACO Formation
    • Risks and Savings
    • Pass or Play?
  • Q&A: Ask the Experts
    • Pros and Cons of ACO Risk Tracks
    • Who Will Lead ACOs?
    • Assessing an ACO Before Joining
    • Patient Satisfaction in the ACO Model
    • ACO Culture Change
    • New Roles for Practice and Hospital Staff
    • Rule Impact on Developing ACOs
    • Alternatives to ACOs
    • Physician Staffing in an ACO
    • Whos Likely to Succeed in an ACO?
    • Legal Hurdles and Challenges
    • ACO Rollout
  • Glossary
  • For More Information
  • About the Speaker
Publication Date: May 2011
Number of Pages: 22
ISBN 10: 1-937229-00-9 (Print version); 1-937229-01-6 (PDF version)
ISBN 13: 978-1-937229-00-9 (Print version); 978-1-937229-01-6 (PDF version)
Frequently Bought Together
Essential Guide to Accountable Care Organizations: Challenges, Risks and Opportunities of the ACO Model
Essential Guide to Accountable Care Organizations: Challenges, Risks and Opportunities of the ACO Model
Your Price: $179.00
2011 Benchmarks in Accountable Care Organizations: Metrics from Early ACO Adopters
2011 Benchmarks in Accountable Care Organizations: Metrics from Early ACO Adopters
Your Price: $127.00
Browse Similar Items
Quality Improvement
Community Health
Physician Organizations
Managed Care
HIN Case Studies
Medical Home
Disease Management
Medical Practice
Accountable Care Organizations

Care Coordination in an ACO: Population Health Management from Wellness to End-of-Life
Assessing Social Determinants of Health: Screening Tools, Triage and Workflows to Link High-Risk Patients to Community Services
2019 Healthcare Benchmarks: Social Determinants of Health
Healthcare Trends & Forecasts in 2020: Performance Expectations for the Healthcare Industry
2019 Healthcare Benchmarks: Patient Engagement

Copyright Healthcare Intelligence Network. All Rights Reserved. eCommerce Software by 3dcart.