H&HN July 7, 2016
Hospitals and physicians are ready and willing to start using new methods of getting paid to help transform how health care is delivered. However, outdated fraud and abuse laws — relics from a time when doctors and hospitals worked in separate silos — are keeping them from doing so.
In a report issued to Congress Tuesday, the American Hospital Association asked Congress to lift regulatory barriers that stymie new models of care and payment — those that reward careful coordination and avoid duplication of services. Stark and anti-kickback laws are limiting physicians’ and hospitals’ ability to work with one another, the AHA contends.
Currently, the Centers for Medicare & Medicaid Services has more than 20 new initiatives to reform how...