Becker's Healthcare January 30, 2025
The shift to value-based care involves financial incentives for anesthesia practices that could conflict with existing fraud and abuse laws, such as Stark law, according to a Jan. 24 report from law firm Whiteford in JDSupra.
Here are 10 notes for anesthesia providers know about the potential legal dangers of value-based care arrangements:
1. Stark law prohibits Medicare referrals to entities with financial ties to the referring physician or an immediate family member, with severe liability for violations. The anti-kickback statute prohibits remuneration to induce referrals, also carrying severe penalties, including fines and imprisonment.
2. Here are five key definitions to know in regards to Stark law and value-based definitions:
- Value-based purpose: Improving care coordination, quality and cost efficiency...
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