Pendulum in the News

MSSP: Can Providers Participate in Multiple ACOs? By Jennifer Lubell - December 20, 2011

A primary care physician recently had a question for consultant William DeMarco. The doctor had his own practice, but he also worked part time for a clinic and did rounds in a nursing home and had to bill that component for primary care.

In examining the final Medicare Shared Savings Program (MSSP) regulations that came out several months ago, the physician wondered: Was it possible for him to participate in more than one accountable care organization (ACO)?

The answer: It depends on how many tax identification numbers (TINs) the physician uses, says DeMarco, president and CEO of Pendulum HealthCare Development Corp., a management services firm in Rockford, Ill., that builds ACOs for providers.

Nothing has changed since the proposed regulation, which essentially stated that primary care doctors could participate in just one MSSP ACO, DeMarco clarifies. “There’s just a small exception for those primary care doctors” who have more than one TIN.