Practice Areas

Accountable Care Organizations

Hooper, Lundy & Bookman’s recognition for unparalleled Medicare reimbursement expertise combined with our decades of experience in advising health care providers regarding hospital/physician integration have led to our leadership role in advising clients regarding ACOs.

We currently advise clients on a number of ACO–related issues, including:

• Specific ACO models and qualifications
• The viability of ACO implementation/participation
• ACO formation, capitalization and governance
• Structuring compensation and bonus incentive arrangements among physicians, hospitals and other ACO providers
• Operational issues
• Regulatory issues related to ACOs, including
          o     Stark
          o     Fraud & Abuse
          o     Civil Monetary Penalties
          o     Corporate Practice of Medicine
          o     Antitrust
          o     Tax exemption issues
• Partial capitation
• Implications for existing managed care contracting arrangements

The firm has formed an ACO Task Force, consisting of ten attorneys and chaired by Robert Lundy, to focus on issues relating to ACOs. The Task Force regularly provides educational services to hospitals, physician groups and other health care attorneys about ACOs through presentations and comprehensive reports and articles.