Healthcare Innovation February 6, 2019
Mark Hagland

Are two University of Pennsylvania healthcare policy researchers correct in asserting that we should not consider modifying the Stark laws in the wake of modest ACO development progress?

Are accountable care organizations moving the needle of the U.S. healthcare industry enough that policy leaders need to rethink the federal antikickback laws? It’s a good question, and one that has been answered in the resoundingly negative by two healthcare policy researchers.

As Wikipedia notes in its entry on the subject, the “Stark Law is a set of United States federal laws that prohibit physician self-referral, specifically a referral by a physician of a Medicare or Medicaid patient to an entity providing designated health services (“DHS”) if the physician (or an immediate...

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Topics: ACO (Accountable Care), CMS, Govt Agencies, Health System / Hospital, Insurance, Medicare, Payment Models, Physician, Primary care, Provider, RCM (Revenue Cycle Mgmt), Regulations
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