What are key legal issues affecting ACOs?
ACOs require collaboration, referrals, reductions in unnecessary care, and sharing of revenues among sometime competitors.
A properly configured ACO should be successful in navigating this legal minefield. The principal bodies of law affecting ACOs are:
- Antitrust,
- Antikickback,
- Stark,
- Civil monetary penalties,
- Tax,
- HIPAA,
- Malpractice,
- Corporate practice of medicine,
- Insurance,
- Intellectual property,
- State self-referral, and
- Business.