Clinical Integration and ACO Alert

News and Information from Broad and Cassel's Health Law Practice Group

September 2014
Volume 4, Issue 5
Practice Group Update

Gabriel Imperato:

9/29-10/2: HCCA September Basic Compliance Academy, Nashville, TN

10/20-10/23: HCCA October Basic Compliance Academy, Las Vegas, NV


Mike Segal:  

9/29: FLAACOs Fall 2014 Conference, Atlantic Beach, FL  


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Mike Segal


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 Stephen Siegel  

 Stephen Siegel 

Of Counsel

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Joshua Boxer

Senior Counsel

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Heather Miller (New)  

Heather Miller

Senior Counsel

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McKenzie Livingston  

McKenzie Livingston


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To our clients and friends:


On September 16 CMS finally made public the financial results of MSSP ACOs through 2013.  Of the 210 ACOs (not including Pioneer ACOs), 53, or 25.2%, achieved sufficient shared savings to obtain monies from CMS.  Some - like our client PBACO in Palm Beach County - were fabulously successful, but almost 75% received nothing.    Interestingly, of the 27 ACOs in Florida, 10, or 37% - much better than the national average - achieved shared savings.


For 2014, the 210 ACOs will be in their second contract year and will be rated on 25 of the 33 quality measures.  Slippage on the quality measures will reduce the ability to share in any shared savings achieved.  It will be interesting to see if the winners can continue to prosper, and if the losers can turn things around.


I hope you enjoy this edition of our newsletter.


Mike Segal

Health Law Practice Group Chair

Broad and Cassel

Fourth Annual Broad and Cassel Health Forum Draws Record Crowd
More than 125 health care industry leaders gathered recently at the Fourth Annual Broad and Cassel Health Forum, held at the Seminole Hard Rock Hotel & Casino, near Fort Lauderdale.   Health care experts delivered compelling messages about trends in a dramatically changing industry.

Please click here to read more about the event.
Joshua Boxer Earns Board Certification in Health Law

Joshua Boxer, senior counsel in the Miami office of Broad and Cassel, has earned Florida Bar board certification in health law. Boxer joins an elite group of less than five percent of The Florida Bar membership that has pursued this level of recognition and is one of only 127 attorneys in the state who has achieved the board certification in health law.   


Click here to learn more about Boxer's achievement.

September 24, 2014: Deadline for HIPAA-HITECH and Business Associate Compliance

By: Stephen H. Siegel, Esq.


One of the requirements of HIPAA-HITECH is that many of the obligations previously imposed on Covered Entities to comply Privacy Security Rules now also are imposed on their Business Associates.  In addition, Business Associates are obligated to ensure that their sub-contractors ("sub-Business Associates") who perform services (either directly or indirectly) on behalf of a Covered Entity also comply with these obligations.    


Please click here to continue reading the article.    

Trending: Country's Top Hospitals forming Alliances with Regional Health Systems

By: McKenzie Livingston


A few years ago, the Cleveland Clinic, ranked the top cardiology hospital in the country by U.S. News & World Report, started contracting directly for healthcare services with large employers like Lowe's, Wal-Mart and Boeing.  Under these national contracts, self-insured employers pay for their workers throughout the country to travel to the Cleveland Clinic, for certain complex procedures, including heart surgery.  The goal is to improve outcomes and save costs for the most complex treatments.  It is estimated that some 2.5 million people across the country are covered by such national contracts.

Please click here to continue reading.  
 About Us
With more than 20 attorneys and a full complement of support staff, Broad and Cassel's Health Law Practice Group is intimately aware of the complex issues faced by health care providers, suppliers and consumers. 
Broad and Cassel has more lawyers certified in Health Law by the Florida Bar Board of Legal Specialization & Education than any other firm in the state. The group holds a collective Band One ranking with Chambers USA: A Guide to America's Leading Business Lawyers, the highest Chambers award possible. Additionally, our individual attorneys are continually recognized both locally and nationally for their knowledge and experience.
Fundamental changes to the nation's health care delivery system are occurring at an accelerated rate, requiring those in the industry to establish and refine their practices and policies to comply with new regulations. The attorneys of our Health Law Practice Group are prepared to discuss these changes and the potential impact they will have on health care providers of all types.