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Regulatory Sprint to Coordinated Care

The promotion of coordinated care is a top health care policy priority for the current Administration. Federal regulations have been cited as hindering the transition to a health care system that emphasizes value and outcomes over volume of care. The Baker Ober Health Law Team is tracking efforts to change these regulations.

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Stark and Anti-Kickback Proposed Rules: Understanding the Proposals and Their Potential Impact October 21, 2019

As part of the current Administration's efforts to promote coordinated care in the health care industry, it has undertaken an extensive review of federal regulations, including the Stark Physician Self-Referral Law (Stark Law), the Anti-Kickback Statute (AKS), and the Civil Monetary Penalty Law (CMP). The Administration has termed this effort the "Regulatory Sprint to Coordinated Care."

In early October 2019, the Department of Health and Human Services (HHS) announced two major proposed regulations:

  • The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to modernize and clarify the Stark Law. PDF
  • The HHS Office of the Inspector General (OIG) issued a proposed rule to add new safe harbors and to clarify existing safe harbors to the AKS. The proposed rule also makes changes to the CMP for inducements to beneficiaries. PDF

The Baker Ober Health Law Team has been closely tracking the Administration's "Regulatory Sprint to Coordinated Care." We have prepared several resources (available in the drop-down lists below) to help our clients understand the implications of these proposed changes to long-standing fraud and abuse laws. Please check back frequently for updated materials as we continue to delve into these proposed regulations and any future issuances.

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