Stark Law Revisions Just One of Many Factors Driving Value-based Care

FTI Consulting

The Department of Health and Human Services released final rules on November 20, 2020 with changes to the Physician Self-Referral Law (Stark Law) and the Anti-Kickback Statute (AKS) to facilitate care coordination and value-based care. In this article we discuss the Stark Law, AKS and changes thereto, as well as implications. An operational “bottom line” perspective is also provided.

Stark Law and Anti-Kickback Statute -

The Physician Self-Referral Law, also known as the Stark Law, prohibits physicians from referring patients to “designated health services” that are payable by Medicare or Medicaid from entities with which the physician or an immediate family member has a financial relationship, unless an exception applies. Financial relationships include both ownership and investment interests, as well as compensation arrangements. “Designated health services” include clinical lab services, physical therapy, occupational therapy and outpatient speech-language pathology services, radiology, DME and supplies, parenteral and enteral nutrients, prosthetics, home health services, outpatient prescription drugs, and inpatient and outpatient hospital services...

Please see full Article below for more information.

LOADING PDF: If there are any problems, click here to download the file.

Written by:

FTI Consulting

FTI Consulting on:

Reporters on Deadline

"My best business intelligence, in one easy email…"

Your first step to building a free, personalized, morning email brief covering pertinent authors and topics on JD Supra:
*By using the service, you signify your acceptance of JD Supra's Privacy Policy.
Custom Email Digest
- hide
- hide

This website uses cookies to improve user experience, track anonymous site usage, store authorization tokens and permit sharing on social media networks. By continuing to browse this website you accept the use of cookies. Click here to read more about how we use cookies.