Becker's Healthcare February 9, 2017
Ayla Ellison

HHS recently released a report that provides observations on the effect healthcare fraud and abuse laws have on the industry’s transition to value-based payment models.

HHS released the report pursuant to Section 512(b) of the Medicare Access and CHIP Reauthorization Act, which requires HHS in consultation with the Office of Inspector General to submit a report to Congress outlining options for amending existing fraud and abuse laws to permit gainsharing or similar arrangements that can improve care while reducing waste and increasing efficiency.

In the report, HHS said some gainsharing and similar arrangements can be structured in a way that does not violate the Anti-Kickback Statute and meets the requirements of an exception to the physician self-referral law known as...

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Topics: ACO (Accountable Care), CMS, Health System / Hospital, MACRA, Medicare, Patient / Consumer, Payer, Physician, Primary care, Provider, RCM (Revenue Cycle Mgmt), Value Based
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