Congress should adopt a single broad exception to federal fraud and abuse laws for financial relationships designed to foster collaboration, efficiencies and improvements in health care, AHA told leaders of the Senate Finance and House Ways and Means committees today. “Hospitals, physicians and other health care providers must break out of the silos of the past and work as teams to achieve the efficiencies and care improvement goals of the new payment models,” wrote AHA Executive Vice President Tom Nickels, in response to the committee’s request for input on how to improve the physician self-referral (Stark) law to implement new value-based payment models. “To do that, a legal safe zone for those efforts is needed. In our view, the Stark law is not suited to the new models and should not be the locus of oversight for these new arrangements. The statute and its complex regulatory framework are designed to keep hospitals and physicians apart – the antithesis of the new models. Its core provisions micro-manage compensation arrangements on a strict liability basis that has proved unworkable…. We recommend that [an] exception be created under the anti-kickback statute and arrangements protected under the exception be deemed compliant with the Stark law and relevant [civil monetary penalties].”

Related News Articles

Headline
The Fund for Access to Inpatient Rehabilitation late yesterday announced that the government will settle backlogged Medicare inpatient rehabilitation facility…
Headline
The Medicare Payment Advisory Commission Friday issued its June report to Congress, which includes several recommendations approved by the panel during its…
Headline
The House Ways and Means Committee today held a hearing on “Pathways to Universal Health Coverage,” which debated various options to expand access to health…
Headline
The Centers for Medicare…
Headline
The U.S. Supreme Court today affirmed a D.C. Circuit Court decision that the Department of Health and Human Services violated the Medicare Act when it changed…
Headline
The Centers for Medicare…