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ACOs Stakeholders Are "Flying And Building The Plane At The Same Time"

Executive Summary

CMS officials are acknowledging the challenges health care industry stakeholders face in embracing accountable care organizations while federal regulations governing the program are still in flux.

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Pharma’s Latest Challenge: 
What To Do About New Provider-Payer Business Models

Even though their specifics are not widely known, the concepts of Medicare's accountable care organizations and other payer-provider linkups are spurring change in the pharmaceutical industry's commercial landscape.

Pharma’s Latest Challenge: 
What To Do About New Provider-Payer Business Models

Even though their specifics are not widely known, the concepts of Medicare's accountable care organizations and other payer-provider linkups are spurring change in the pharmaceutical industry's commercial landscape.

If They Build It, Will Anybody Come?

Health systems are telling CMS that, as proposed in the agency's draft rule, the Medicare accountable care organization program may not attract participants. Those types of comments are coming even from health systems that have been touted as the types of organizations that are already doing many of the activities envisioned for Medicare ACOs, such as coordinating patient care between providers and assessing provider performance through a list of defined outcome measures, and so had been thought most likely to sign up.

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