There is a complex interplay between hospital-based group exclusive contracts and ACO-entity payment mechanisms.
In addition to making certain that money flows into the group, as opposed to around it, obviously a protective move, there are significant planning opportunities in the play off between the managed care contracting provisions of exclusive contracts and the terms of hospital-controlled ACOs.
Things have become far more complicated but there are potential opportunities that you must exploit.
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Mark F. Weiss