New AMA prin­ci­ples back rights for physi­cians, ACOs

Modern Healthcare - - Late News -

The Amer­i­can Med­i­cal As­so­ci­a­tion said in­de­pen­dent doc­tors should have le­gal lee­way to re­main so with­out vi­o­lat­ing fraud and abuse laws in up­com­ing reg­u­la­tions for ac­count­able care or­ga­ni­za­tions. The AMA re­leased its ac­count­able care prin­ci­ples that were adopted dur­ing a pol­icy meet­ing in San Diego. The AMA called for ex­plicit ex­emp­tions for ac­count­able care net­works un­der an­titrust law. The Fed­eral Trade Com­mis­sion chair­man said in Oc­to­ber that au­thor­i­ties would cre­ate a safe har­bor that would al­low net­works to op­er­ate legally. The AMA also laid out poli­cies for ac­count­able care pay­ment and gov­er­nance. ACOs that spend less than the na­tional av­er­age should re­ceive bonus pay­ments, the group said. The CMS should test mul­ti­ple in­cen­tive mod­els and ACOs that ac­cept fi­nan­cial risk “must abide by the fi­nan­cial sol­vency stan­dards” of risk-bear­ing or­ga­ni­za­tions, the AMA pol­icy said. ACO boards must be in­de­pen­dent from par­tic­i­pat­ing hos­pi­tal boards and they must have a suf­fi­cient num­ber of doc­tors to en­sure med­i­cal de­ci­sions are made by doc­tors.

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