Second Look—Advocacy

If you missed these Headline News Now items the first time around, AAOS Now gives you a second chance to review them. Headline News Now—the AAOS thrice-weekly, online update of news of interest to orthopaedic surgeons—brings you the latest on clinical, socioeconomic, and political issues, as well as important announcements from AAOS.

Medicare fraud prosecutions pay off
The U.S. Departments of Justice (DOJ) and Health and Human Services (HHS) have announced that federal fraud prosecutions resulted in more than $4 billion returned to the Medicare Health Insurance Trust Fund during fiscal year (FY) 2010—a $1.4 billion increase (56 percent) over FY 2009. The $4 billion includes $2.5 billion in settlements and judgments obtained by the DOJ for False Claims Act violations connected to healthcare fraud.

CMS issues proposed ACO regulations
The Centers for Medicare & Medicaid Services (CMS) has issued proposed rules for accountable care organizations (ACOs)—arrangements among healthcare providers designed to reduce healthcare expenses through improved care coordination. Under the rules, ACOs will be measured against a benchmark and will be rewarded financially for meeting quality standards and achieving cost savings. Quality is to be measured in the following areas: patient/caregiver experience of care, care coordination, patient safety, preventive health, and at-risk population/frail elderly health.

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