Modern Healthcare October 11, 2019
Hoping to stimulate more interest in value-based care models, HHS issued much-anticipated reforms to self-referral and anti-kickback rules. But experts cautioned that the industry is a long way from fully embracing risk-based arrangements.
In two proposed rules from the CMS and HHS’ Office of Inspector General, the agencies said the current regulations limit data-sharing and care coordination in their attempts to root out fraud. Under the proposed framework, doctors and hospitals could more freely share data across the continuum, and hospitals could pay physicians incentives as part of CMS-sponsored models. The agencies also offered more clarity on fair levels of compensation, among other provisions aiming to ease compliance burdens and facilitate payment models where physicians and hospitals share the financial...
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