Medical Economics November 14, 2019
Kristin M. Bohl, and Adetoro T. Olugbemi

The proposed rules released by the Department of Health and Human Services Office of Inspector General (OIG) and the Centers for Medicare & Medicaid Services (CMS) in October 2019 include new exceptions and safe harbors, as well as clarifications to the Physician Self-Referral (Stark) Law, the Anti-Kickback Statute and the civil monetary penalty prohibition against beneficiary inducements.

These much-anticipated proposed rules aimed at removing regulatory barriers to coordinated care and value-based care provide some of the most extensive changes to these laws in response to the HHS’s “Regulatory Sprint to Coordinated Care.”

Anti-Kickback Statute

The OIG proposes new safe harbors and modifications to existing safe harbors to promote outcome-based payment arrangements that reward improvements in patient...

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Topics: CMS, Govt Agencies, Health System / Hospital, HHS, Insurance, Medicare, OIG, Physician, Primary care, Provider, Regulations
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