Lexology January 8, 2020
Cozen O'Connor

In an effort to modernize the federal fraud and abuse laws by “reduc[ing] regulatory barriers and accelerat[ing] the transformation of the healthcare system into one that better pays for value and promotes care coordination,”1 the OIG released a proposed rule2 (proposed rule) in the fourth quarter of 2019 that would amend the Anti-Kickback Statute safe harbors, as well as regulatory requirements under the Civil Monetary Penalty Law regarding beneficiary inducements. The CMS also simultaneously released a proposed rule that would amend and make clarifications to the Stark Law regulations. Below I highlight the standards for two of the OIG’s proposed rule’s new, proposed safe harbors that would be applicable to value-based arrangements with substantial downside financial risk and value-based arrangements...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: CMS, Govt Agencies, Health System / Hospital, Insurance, OIG, Payment Models, Physician, Primary care, Provider, Regulations, Value Based
Understanding CMS’ AHEAD Model: Medicare Hospital Global Budget Design and Implications
APG’s Susan Dentzer: the Value-Based World Is Steaming Ahead
How extending virtual options can drive value-based care
Health system C-suites eye value-based care roles
Incentivizing Provider Engagement for Improved Value-Based Outcomes

Share This Article