Lexology October 31, 2022
Frost Brown Todd LLC

The 2020 Center for Medicare and Medicaid’s (CMS) adaptations to the Physician Self-Referral law, or the Stark Law, as well as the recent modifications to the Federal Anti-Kickback Statute bring providers new, and advantageous, options for structuring value-based care arrangements. In our first article, “New Value-Based Enterprise Opportunities in Healthcare,” we looked at the legislative updates allowing for increased collaboration and how providers can better address patient needs while reducing costs and improving care quality.

This article dives into the three applicable exceptions for financial relationships under the Stark Law. This includes describing what each entails for value-based agreements while also providing insight on how a higher level of risk, according to these exceptions, corresponds to a decreased regulatory constraint...

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Topics: CMS, Govt Agencies, Payment Models, Physician, Provider, Regulations, Value Based
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