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 […]
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.
Pulished in Healio The bipartisan legislation, “The Medicare Care Coordination Improvement Act of 2017,” was recently introduced by the Senate to modernize the Stark Law and eliminate the barriers it poses to care coordination. Read More >>
Published in POLITICO Stark Law bill: Sens. Rob Portman and Michael Bennet introduced a bill Wednesday to adapt Medicare’s anti-kickback laws. The regulations are intended to crack down on physician conflicts of interest in making referrals and purchasing services, but critics believe the laws need reform in a value-based payment era. Portman and Bennet’s bill, […]
The Medicare Care Coordination Improvement Act would remove barriers to physician practice participation in APMs. Specifically, it would provide CMS 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.
DHPA has submitted comments on the importance of modernizing the federal physician self-referral law (Stark Law) to the U.S. House Ways and Means Health Subcommittee’s Medicare Red Tape Relief Project, an initiative aimed at “delivering relief from the regulations and mandates that impede innovation, drive up costs, and ultimately stand in the way of delivering […]