Regulatory Review February 6, 2020
Federal regulators seek to expand safe harbors for provider care coordination arrangements.
Physician reimbursement under a value-based care structure encourages care coordination programs in which providers communicate to streamline services and generate better patient health outcomes.
Seeking to promote the transition to value-based care models, the Centers for Medicare and Medicaid Services (CMS) recently proposed a rule that would protect health care providers engaged in certain care coordination arrangements from liability under the federal Physician Self-Referral Law, commonly called the Stark Law.
The Stark Law prohibits physicians from engaging in self-referrals, cases where a physician refers patients to another provider with which that physician has a direct or indirect financial relationship for services paid for by the federal health insurance program, Medicare. Under this law, physicians may not bill Medicare...