Physician-Owned ACOs: Overcoming the Legal and Regulatory Compliance Challenges


Even though the specifics of Medicare’s Shared Savings Program have yet to be defined, physician organizations can still position themselves to achieve cost savings through an independent accountable care organization (ACO), notes Jeffrey R. Ruggiero, Esq., a partner in the law firm of Arnold & Porter LLP, who is advising the Queens County Medical Society on the launch of one of New York State’s largest physician ACOs. Ruggiero describes the advantages of a physician-run ACO as well as some of the regulatory, compliance and operational factors to consider prior to ACO launch.

Ruggiero described the Queens County Medical Society’s ACO development approach during Physician-Owned ACOs: Overcoming the Legal and Regulatory Compliance Challenges, a 45-minute webinar on January 19, 2011.




Length: 8:37 minutes

Minimum Medical Loss Ratios: How Health Plans Should Prepare for the January Compliance Requirements


What constitutes healthcare quality improvement? CMS’s definition of medical costs will likely coalesce around five key areas of quality improvement, say John Steele and Steve Young, managing directors for HealthScape Advisors. These CMS guidelines will impact health plans in January, when new medical loss ratio (MLR) regulations take effect. In this podcast, the advisors also describe the risk that insurers could incur on the rebate side if they don’t adequately prepare for the January changes and the impact the regulations could have on consumers’ medical care and choices.


Steele and Young provided an in-depth analysis of what health plans must do now to comply with the January deadline for MLRs and how this might impact health plans operationally and financially during Minimum Medical Loss Ratios: How Health Plans Should Prepare for the January Compliance Requirements, a 60-minute webinar on July 21, 2010.




Length: 15:39 minutes