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, […]
High-quality, integrated care delivered in the independent medical practice setting is worthy of protection as an alternative to care that is often more costly when furnished in the hospital setting. Read more...
Integrated models of care allow for better coordination across specialties, translating into higher quality, lower cost and more accessible care for patients. Read more...
Recent data, including 2009-2013 Medicare data relating to the cost and utilization of anatomic pathology (AP) services, demonstrates that the GAO report fails to tell the full story about cost and utilization. Read more...
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 that propose ways to streamline the development and approval of Physician-Focused Payment Models (PFPMs) to the U.S. House Ways and Means Health Subcommittee’s Medicare Red Tape Relief Project. The new initiative is aimed at “delivering relief from the regulations and mandates that impede innovation, drive up costs, and ultimately stand in […]
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 […]
DHPA has filed comments in response to CMS’s CY 2018 Updates to the Quality Payment Program (“QPP”) Proposed Rule. In its comment letter, DHPA provided three specific suggestions for CMS to consider incorporating into the Final Rule to ensure Medicare beneficiaries’ continued access to critically important drug treatments and to facilitate greater participation by independent […]