Analysts warn that setting up ACO’s will be complex

Medicare officials are working on a proposed rule for accountable care organizations (ACO’s), that will be released in January. But analysts with Avalere Health cautioned that it will not be easy for providers to join together to create an ACO network, according to CQ Health Beat.

 

The article reports that Avalere Senior Vice President Erik Johnson states that one key component that providers should consider is whether their electronic health record systems are able to transmit patient data to other hospitals, physicians or other providers.   

A number of legal and regulatory questions still have to be decided about how ACOs will operate, including whether to relax anti-fraud laws and legislation banning physicians from making referrals to a hospital or another institution in which a doctor has a financial relationship.

 

(Sources: The Commonwealth Fund, December 9, 2010)