New Opportunities in Value-Based Care Part 2: Creating a Value-Based Enterprise

Nelson Mullins Riley & Scarborough LLP

This is the second in a five-part series discussing the new Value-Based Regulations adopted last year by the Centers for Medicare & Medicaid Services and the Office of Inspector General.

Creating a “value-based enterprise” is the key first step necessary to satisfy the requirements of a Stark value-based exception or an Anti-Kickback Statute value-based safe harbor.

A value-based enterprise is a network of participants (including clinicians, providers, and suppliers) that have agreed to collaborate with respect to a target patient population, with a goal towards increasing efficiencies in the delivery of care and improving outcomes for that patient population.

Please see full Publication below for more information.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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