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

January 16, 2019

What ACOs need to know about the MSSP ACO final rule – Pathways to Success

With CMS recently finalizing the MSSP ACO rule, there is a lot for successful organizations to understand. This is one in a series of blog posts explaining the MSSP ACO final rule in greater detail. If you haven’t already, check out the recent webinar hosted by Caravan Health policy experts.

ACO, Policy, CMS

January 10, 2019

Final MSSP Rule Details Explained

Caravan Health President Tim Gronniger and Policy Officer LeeAnn Hastings led a webinar to go over the details of the newly published final Medicare Shared Savings Program regulation.

ACO, Policy

December 21, 2018

Shared Savings Program Final Rule

Sliding in just under the wire of the anticipated government shutdown, CMS has released the Shared Savings Program final rule. With the rule, CMS finalized many changes to the ACO program as proposed in August, including an increase from three to five years of participation under a contract and the elimination of tracks 1, 2, and 3 in favor of Basic and Enhanced options.  

ACO, News, Policy