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Full-Text Articles in Health Policy
Accountable Care Organizations: Implications For Antitrust Policy, Taylor Burke, Sara J. Rosenbaum
Accountable Care Organizations: Implications For Antitrust Policy, Taylor Burke, Sara J. Rosenbaum
Health Policy and Management Faculty Publications
This analysis examines accountable care organizations (ACOs) and assesses their implications for antitrust policy. Consideration of the antitrust implications of ACOs is timely. Both the House and Senate health reform measures contemplate the creation of ACOs as a new class of Medicare provider while providing parallel legal authority under Medicaid.
Medicare Advantage Payment Provisions: Health Care And Education Affordability Reconciliation Act Of 2010 H.R. 4872, Brian Biles, Grace Arnold
Medicare Advantage Payment Provisions: Health Care And Education Affordability Reconciliation Act Of 2010 H.R. 4872, Brian Biles, Grace Arnold
Health Policy and Management Issue Briefs
The Health Care and Education Affordability Reconciliation Act of 2010 would make major changes to Medicare Advantage (MA) payment policies. Overall, payments to MA plans would be reduced from the current national average of 113 percent of local fee-for-service (FFS) costs to a new average of 101 percent of FFS costs. The Congressional Budget Office (CBO) has estimated that the new polices would reduce Medicare spending by $132 billion over 10 years. The new policies would set county payment benchmarks for MA plans at 115 percent, 107.5 percent, 100 percent, and 95 percent of local FFS costs depending of the …