DHPA President Dr. Michael Weinstein testified before the U.S. House Energy & Commerce Health Subcommittee during a hearing entitled “Examining Barriers to Expanding Innovative Value-Based Care in Medicare.” Dr. Weinstein testified that expanding Alternative Payment Models (APMs) to independent practices will enable health care to move to a more cost-efficient setting. Dr. Weinstein urged Congress […]
Modernizing the Stark Law
The Digestive Health Physician Association supports the bipartisan Medicare Care Coordination Improvement Act of 2017 (H.R. 4206, S. 2051), which promotes care coordination and will enable physicians to participate more fully in the value-based payment models incentivized by the bipartisan Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The legislation has the full support of 24 physician organizations representing more than 500,000 physicians who care for millions of Medicare patients.
The legislation seeks to eliminate barriers created by the federal physician self-referral prohibitions (Stark Law), which currently inhibit physician practices that are developing advanced alternative payment models (APMs) from rewarding or penalizing physicians for complying with clinical guidelines and treatment pathways designed to improve patient outcomes and/or lower costs with revenue from designated health services.
Specifically, it would provide the U.S. Department of Health and Human Services the same authority to waive restrictions in the Stark Law and Anti-Kickback Statute for physicians seeking to develop and operate APMs, as was provided to Accountable Care Organizations in the Affordable Care Act. It would allow physician practices to incentivize practitioners to provide high quality care while alternative payment models are under development and in operation.
The Digestive Health Physicians Association has submitted a comment letter in response to the Centers for Medicare & Medicaid Services’ Request for Information on the Physician Self-Referral (Stark) law. DHPA is committed to ensuring that independent GI practices across the country can participate in alternative payment models (APMs) and other novel financial arrangements that deliver […]
DHPA strongly supports the Medicare Care Coordination Improvement Act of 2017 (H.R. 4206, S. 2051), which promotes care coordination and will enable physicians to participate more fully in the value-based payment models incentivized by the bipartisan Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) (Pub. L. 114-10, enacted April 16, 2015). H.R. 4206, was […]
The Digestive Health Physicians Association (DHPA) applauds the proposal in President Trump’s FY 2019 Budget to establish new protections in the physician self-referral law (Stark Law) for health care services furnished through Alternative Payment Models (APMs). DHPA worked closely with Members in both chambers to develop bipartisan legislation that would do precisely what is called for in the President’s Budget.
Published in The American Journal of Managed Care As a physician, my primary concern is ensuring my patients get the best care possible, which often requires coordinating with other specialists. Every day I work with doctors in my practice—and in other practices—to give my patients access to a diverse team of experts that works together […]