CMS Considers Stark Law Changes to Support Value-Based Care, APMs

RevCycle Intelligence (06/22/18) LaPointe, Jacqueline

The Centers for Medicare & Medicaid Services (CMS) is considering a modification of the Stark Law and is asking for comments on how the physician self-referral law may hamper care coordination, thus reducing participation in alternative payment and care delivery models. "Removing unnecessary government obstacles to care coordination is a key priority for this Administration," said Deputy Health and Human Services Secretary Eric Hargan. "We need to change the healthcare system so that it puts value and results at the forefront of care, and coordinated care plays a vital role in this transformation." The law prohibits providers from making referrals for designated health services payable by Medicare to anyone with whom they have a financial relationship. Many in the healthcare field claim the physician self-referral restrictions have not held up since the law was enacted in the 1980s, arguing that they have kept providers from forming relationships that would benefit care coordination. CMS will accept public comments until August 24.

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