Health Affairs October 15, 2019
Billy Wynne, Katie Pahner, Josh LaRosa

On Wednesday, October 9, the Department of Health and Human Services (HHS) announced highly anticipated proposed reforms to current regulations implementing the Physician Self-Referral Law (the Stark Law) and the Federal Anti-Kickback Statute (AKS). Also addressed were related civil monetary penalties (CMPs) for inducements to beneficiaries to utilize services. HHS identified the regulations as they stand now as potential impediments to value-based purchasing arrangements for providers and suppliers participating in federal health care programs, as well as in the commercial sector.

The proposed changes are delineated in a pair of rules issued by the Centers for Medicare and Medicaid Services (CMS) (proposed rule; fact sheet) (Stark Law) and the Office of Inspector General (OIG) (proposed rule; fact sheet) (AKS and...

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