With the passage of the new healthcare reform legislation, healthcare professionals are looking for new ways to increase efficiency and value, while decreasing the cost of providing healthcare services. One “solution” proposed by the reform legislation is the creation of accountable care organizations (ACOs), organizations in which a set of providers, usually physicians and hospitals, are held accountable for the cost and quality of care delivered to a specific local population. ACOs are currently only a theoretical mode of healthcare delivery and although the likelihood of success is yet unknown, the new legislation set forth requirements and plans for future pilot programs.

Presenter, Robert Cimasi, MHA, ASA, MCBA, AVA, CM&AA is President of Health Capital Consultants, (HCC), a nationally recognized healthcare financial and economic consulting firm.

Presenter, Todd Zigrang, MBA, MHA, ASA, FACHE, is Senior Vice President of Health Capital Consultants.

Presenter, Anne Sharamitaro, Esq., is a Senior Vice President at Health Capital Consultants.

View the course syllabus.

Who Should Attend

• Professional advisors, i.e., CPAs and other consultants for hospitals/health systems and physician professional practices

What You Learn

• The purpose, formal legal structure, and possible payment structure of ACOs
• Potential legal issues with ACO formation and business
• Economic and financial issues with ACO formation and operation, including capital requirements, risk assessment, and shared savings payment scheme

Benefits of Attending

• Gain knowledge of the possible payment structures and how they may impact reimbursement to healthcare providers
• Understand how the Centers for Medicare and Medicaid Services (CMS) recently proposed regulations regarding ACOs will take effect
• Understand the financial implications of ACOs including the transactional marketplace characteristics, new assessment of investment risk, impact of shares savings reimbursement on revenue and earning streams to be capitalized, and impact on allowances on market participation as to the size and makeup of the investor market

Program Level: Basic

Prerequisite: Appropriate for holders of advanced degrees, professional designations, or at least two years professional experience

Advanced Preparation: None

This is a group Internet-based offering. The instructional method is lecture with active group participation and visual aids.