decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Gainsharing Arrangements / Existing plans not grandfathered
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Article Overview
This short article discusses Office of Inspector General guidance on gainsharing arrangements, focusing on how existing plans were treated after publication of a 1999 Federal Register bulletin. It is relevant to compliance, healthcare legal, and revenue integrity audiences that need a high-level understanding of the regulatory context and enforcement posture.
Why This Topic Matters
Gainsharing arrangements can raise compliance concerns in healthcare organizations, and understanding the historical OIG position helps readers assess risk and review legacy incentive arrangements.
What You Will Learn
- The general compliance context for gainsharing arrangements
- How OIG framed enforcement considerations for pre-existing plans
- Why the 1999 Federal Register bulletin is relevant to legacy arrangements
- The type of regulatory guidance addressed in the article
Who Should Read This
- Compliance professionals
- Healthcare counsel
- Revenue integrity teams
- Hospital administrators
- Medical group leadership
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