Fierce Health Payers October 14, 2019
Robert King

Last week the Trump administration released two proposed rules to ensure that value-based care deals don’t run afoul of the Stark Law and the antikickback statute.

But while provider groups were largely optimistic about the direction of the new rules, there are still some areas that could cause compliance headaches.

Here’s a look at a few such concerns:

Documenting value-based care

A major requirement in both rules is creating a document outlining any value-based arrangement in order to get the safe harbor and exception.

The document must include the targeted patient population, value-based outcome and duration of the deal. Any compensation delivered from say a hospital to a doctor’s office as part of a value-based outcome cannot exceed fair market...

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Topics: CMS, Govt Agencies, Health System / Hospital, HHS, Insurance, OIG, Payment Models, Physician, Primary care, Provider, Regulations, Value Based
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