Accountable care organizations and other provider risk sharing arrangements /

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Bibliographic Details
Author / Creator:	Snyder, Lynn Shapiro, author.
Imprint:	Arlington, VA : Bureau of National Affairs, [1996]-
Description:	1 online resource
Language:	English
Series:	Health law & business portfolio series ; portfolio 2300-2nd BNA's health law & business series ; no. 2300-2nd.
Subject:	Health facilities -- Risk management -- United States. Hospitals -- Risk management -- United States. Health insurance -- United States -- Cost control.
Format:	E-Resource Journal
URL for this record:	http://pi.lib.uchicago.edu/1001/cat/bib/8383670

Hidden Bibliographic Details
Title varies:	Regulation of provider risk sharing and other limitations on risk bearing provider networks
Other authors / contributors:	Cramer, Tanya V., author. Jordan, Randolph S., author. Bureau of National Affairs (Arlington, Va.), issuing body.
Frequency:	Updated irregularly
Notes:	Author: Randolph S. Jordan, . Formerly published in Washington, D.C., 1996-2007. Includes bibliographical references. Description based on contents viewed on February 1, 2019; title from description page.
Summary:	"This portfolio discusses the various arrangements through which health care providers such as physicians and hospitals assume some or all of the financial risk for providing covered health care benefits to patients. It discusses the traditional model, under which insurers assume the full financial risk for arranging for the provision of covered health care benefits and health care providers are paid per procedure. The portfolio also examines various approaches that are being used to share financial risk with health care providers. It focuses in particular on some of the practical and legal issues surrounding accountable care organizations (ACOs), one of the most recent mechanisms for provider risk sharing."

Table of Contents:

Detailed analysis. Origins and legal implications of provider reimbursement models
Traditional bearers of health insurance risk
Types of provider reimbursement arrangements
Accountable care organizations
Medicare advantage and Medicaid managed care
Legal issues for provider risk sharing arrangements
Federal regulation of health insurers
Insurance licensure issues for risk bearing provider organizations
State ACO initiatives and regulations
Working papers.

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