On Friday, December 14, a U.S. District Court in Texas ruled that the entire Affordable Care Act is unconstitutional due to its mandate to purchase health insurance.  Congress amended the Act in 2017 to eliminate the tax penalty, but the requirement remained. The court did not issue any injunctions to block enforcement of the 8-year-old law.  

U.S. government officials, including CMS Administrator Seema Verma, indicated that the government would continue business as usual in implementing all provisions of the Affordable Care Act pending appeals and other court action. Ms. Verma said on Twitter “We expect this ruling will be appealed to the Supreme Court. Pending the appeal process, the law remains in place.” 

Were the decision upheld through numerous appeals, many Medicare payment policies would be called into question, including Accountable Care Organizations. Many commentators have already suggested that the decision is unlikely to survive appeal; whatever its resolution, the decision requires no change to Caravan Health operations, or those of its clients, today or in the immediate future.  


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Recent Articles and News

March 07, 2019

Medicare Payment, Risk, and Accountable Care

Medicare reimbursement rules are requiring physicians to move from fee-for-service to fee-for-value. Providers may be left wondering how to succeed in value-based payment. Caravan Health is here to explain the changing rules, the ever more complex requirements for health care providers, and the best path forward for success.

ACO, Policy, MACRA MIPS, CMS

February 13, 2019

The Power of Data in Health Care Transformation: A Discussion with Rural Health Leaders

At this week’s Rural Health Policy Institute in Washington, DC, Caravan Health, the National Rural Accountable Care Consortium (NRACC), and other rural health experts and advocates gathered for a discussion about the role of data in rural health transformation.

ACO, Policy, Events, CMS

January 30, 2019

Beyond Tracks and Levels – What Elective Options are Available to ACOs Under the New Rules?

This weekly blog post covers more about what ACOs need to know about the recently released final Medicare Shared Savings Program ACO rule.

ACO, Policy