Summary:
The Centers for Medicare & Medicaid Services and the Office of Inspector General recently issued the highly anticipated final rules to modernize and clarify the Stark Law and the Anti-Kickback Statute. Here’s what it means for physician leaders.
Abstract:
The Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General (OIG) recently issued the highly anticipated final rules to modernize and clarify the Stark Law and the Anti-Kickback Statute. The final rules related to each of these laws seek to establish new exceptions/safe harbors and definitions, and provide additional flexibility to support the current shift in the US healthcare delivery and payment system from volume-based to value-based reimbursement. The significant changes affecting physician practices include fundamental changes in terminology; newly established exceptions/safe harbors for value-based arrangements; lowered regulatory hurdle with a new exception for limited remuneration to a physician; a safe harbor for patient engagement and support; a safe harbor for CMS-sponsored models; eased restrictions related to cybersecurity technology; changes to the group practice rules related to profit distribution; and more.
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