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Health Care Reform Resources

RESOURCES

Health Care Reform Statutory Resources

Patient Protection and Affordable Care Act

Patient Protection and Affordable Care Act (Public Law 111-148)

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Health Care and Education Reconciliation Act

Health Care and Education Reconciliation Act (Public Law 111-152)

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Senate Democratic Policy Committee Patient Protection and Affordable Care Act

Senate Democratic Policy Committee Patient Protection and Affordable Care Act (Public Law 111-148) Section-by-Section Analysis

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Senate Democratic Policy Committee Health Care and Education Reconciliation Act

Senate Democratic Policy Committee Health Care and Education Reconciliation Act (Public Law 111-152) Section-by-Section Analysis

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Compilation of Patient Protection and Affordable Care Act and Health Care and Education Reconciliation Act

Compilation of Patient Protection and Affordable Care Act (as amended through May 1, 2010)

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Miscellaneous Resources

U.S. Supreme Court webpage dedicated to Patient Protection and Affordable Care Act legal challenges

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U.S. Supreme Court opinion in National Federation of Independent Business v. Sebelius

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The Henry J. Kaiser Family Foundation

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RAND Corporation

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Healthcare Information and Management Systems Society

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The Brookings Institute's The Engelberg Center for Health Care Reform

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The Commonwealth Fund

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Robert Wood Johnson Foundation

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Association of Retired Persons (AARP)

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Accountable Care Organizations

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Healthcare Information and Management Systems (HIMSS) ACO Resources

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Centers for Medicare and Medicaid Services website devoted to the Shared Savings Program. This website contains program application materials and other relevant information.

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Internal Revenue Services Notice 2011-20 regarding application of section 501(c)(3) of the Code to tax-exempt organizations participating in the Medicare Shared Savings Program through an Accountable Care Organization

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The Federal Trade Commission and the Department of Justice's "Statement of Antitrust Enforcement Regarding Accountable Care Organizations Participating in the Medicare Shared Savings Program" (Antitrust Policy Statement)

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CMS and HHS Office of Inspector General's interim final rule with comment period establishing waivers of certain Federal laws in connection with the Shared Savings Program

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Information Regarding Centers for Medicare and Medicaid Services' Pioneer ACO Model

Information regarding Centers for Medicare and Medicaid Services' Pioneer ACO Model, which is an alternative to participating in the Shared Savings Program and "is designed to test the movement of organizations experienced in providing coordinated care across settings more rapidly to population-based payment arrangements and to work in coordination with private payers to achieve cost savings and improved health outcomes for Medicare beneficiaries."

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Information Regarding Centers for Medicare and Medicaid Services' Proposed Advanced Payment Initiative for Participants in the Shared Savings Program

Under the Proposed Initiative, eligible organizations could receive an advance on the shared savings they are expected to earn as a monthly payment for each aligned Medicare beneficiary.

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How to Pinpoint ACOs Prime for Partnership

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CMS Website for Information on the Medicare Shared Savings Program (Shared Savings Program)

On March 31, 2011, The Centers for Medicare & Medicaid Services (CMS) published in the Federal Register proposed rule CMS-1345-P, Medicare Program; Medicare Shared Savings Program: Accountable Care Organizations that implements the Medicare Shared Savings Program (Shared Savings Program) and establishes the requirements for Accountable Care Organizations. CMS has launched a dedicated web page for Medicare FFS providers and other providers of services and suppliers. Bookmark the web page and check back often, as CMS continues to add information on the program.

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Medicare Payment Advisory Commission's (MedPac) response to CMS' request for comments regarding Accountable Care Organizations

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Information regarding National Committee for Quality Assurance's (NCQA) request for comment on Accountable Care Organization Evaluation Criteria

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Link to transcript materials from the CMS, HHS, and FTC Workshop Regarding Accountable Care Organizations and Implications Regarding Antitrust, Physician Self-Referral, Anti-Kickback and Civil Monetary Penalty Laws

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Medicare Shared Savings Programs Frequently Asked Questions

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Clinical Integration and Antitrust

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The Federal Trade Commission and the Department of Justice's "Statement of Antitrust Enforcement Regarding Accountable Care Organizations Participating in the Medicare Shared Savings Program" (Antitrust Policy Statement)

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American Hospital Association's Chart of legal barriers to clinical integration and proposed solutions

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American Hospital Association's Guidance for Clinical Integration updated September 2010

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FTC Testifies on Antitrust Enforcement in the Health Care Industry

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Medicare Payment Advisory Commission's (MedPac) response to CMS' request for comments regarding Accountable Care Organizations

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Recording and transcript materials from the CMS, HHS, and FTC Workshop Regarding Accountable Care Organizations and Implications Regarding Antitrust, Physician Self-Referral, Anti-Kickback and Civil Monetary Penalty Laws

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August 19, 2010 edition of U.S. Department of Justice and Federal Trade Commission's Horizontal Merger Guidelines

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Employers and Employees

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U.S. Department of Labor Health Reform Center

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Fraud and Abuse/Compliance

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CMS and HHS Office of Inspector General's interim final rule with comment period establishing waivers of certain Federal laws in connection with the Shared Savings Program

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Recording and transcript materials from the CMS, HHS, and FTC Workshop Regarding Accountable Care Organizations and Implications Regarding Antitrust, Physician Self-Referral, Anti-Kickback and Civil Monetary Penalty Laws

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U.S. Department of Justice and Health Care Reform

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U.S. Department of Health and Human Services' Office of Inspector General Report on Adverse Events in Hospitals

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General

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Health Care Policy

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Congressional Budget Office Report

Congressional Budget Office report issued on May 26, 2011 that discusses the budgetary effects of legislation that would permanently prevent the use of appropriated funds to implement the Patient Protection and Affordable Care Act of 2010 (PPACA) and provisions related to health care in the Health Care and Education Reconciliation Act of 2010, Public Laws 111-148 and 111-152, respectively

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U. S. House Democrats on Health Care Reform

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U.S. House Republicans on Health Care Reform

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U.S. Senate Democrats on Health Care Reform

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U.S. Senate Republicans on Health Care Reform

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Health Information Technology

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HIMSS on Health Care Reform

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U. S. Department of Health and Human Services Guidance for Exchange and Medicaid Information Technology Systems

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Hospitals and Health Systems

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Medicare Shared Savings Programs Frequently Asked Questions

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Affordable Care Act in Action at CMS

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Official U.S. Government health care website

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Physicians and Physician Organizations

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Information on Medicare's Physician Feedback and and Value Modifier Program

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American Medical Association's resource page for Health System Reform

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Quality, Reimbursement and Reporting

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Centers for Medicare and Medicaid Services' Bundled Payment Initiative

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Centers for Medicare and Medicaid Services' Innovation Center

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Centers for Medicare and Medicaid Services' Hospital Quality Initatives

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Centers for Medicare and Medicaid Services' Physician Quality Reporting Intiative

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Centers for Medicare and Medicaid Services' Quality Initiatives overview

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Tax & Tax-Exempt Organizations

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Internal Revenue Service Health Reform Center

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