By proposing a new safe harbor for patient engagement tools and creating three new safe harbors for value-based arrangements, the Department of Health and Human Services Office of Inspector General has taken “the first steps toward much needed reform” of the federal anti-kickback statute and civil monetary penalty rules regarding beneficiary inducements, AHA told the agency in comments. While aspects of the rule provide a “crucial foundation” for transformation in health care, AHA said OIG “can — and should — do more to remove the barriers presented by outdated AKS rules and open the way to a value-based system. The most pressing improvement needed in the final rule is to create a robust safe harbor for non-risk value-based arrangements, modeled on [the Centers for Medicare & Medicaid Services’] proposed exception for the same type of arrangements.” In finalizing the rule, OIG should “adapt its proposed safe harbors to protect a broader universe of the innovative, value-based arrangements made possible by the CMS exceptions,” the association said.
In order for a Critical Access Hospital (CAH) to receive payment under Medicare Part A, Medicare currently requires physicians to certify that patients will be…
The Medicare Payment Advisory Commission (MedPAC, or the Commission) will vote this month on payment recommendations for 2021.
The Departments of the Treasury, Labor, and Health and Human Services (collectively, the departments) propose to require health plans to provide their…
Each year, the American Hospital Association (AHA) collects aggregate information on the payments and costs associated with care delivered to beneficiaries of…