decisionhealth Newsletters, Part B News - 2018 Issue 10 (October)
New OIG RFI shows Stark reform push is real — but results may be small
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Article Overview
This article discusses recent federal requests for information and related commentary on potential changes to Stark law, the anti-kickback statute, and beneficiary inducement rules. It is aimed at health care compliance, legal, and revenue cycle professionals tracking regulatory movement around value-based care, coordinated care arrangements, and provider referral rules. The piece summarizes stakeholder views on the likely scope and pace of reform and notes the role of agency guidance and regulatory interpretation.
Why This Topic Matters
Providers and compliance teams need to watch federal fraud-and-abuse policy developments because even modest regulatory shifts can affect value-based arrangements, referral relationships, and care coordination models. The article helps readers understand the policy direction and the types of guidance being considered.
What You Will Learn
- How federal agencies are signaling possible changes to long-standing fraud-and-abuse policy
- Why value-based care arrangements are driving interest in new guidance
- What kinds of regulatory versus legislative changes are being discussed
- How advisory opinions and sub-regulatory guidance fit into provider compliance planning
Who Should Read This
- Health care compliance professionals
- Health care attorneys
- Physician practice administrators
- Hospital leadership
- Revenue cycle and reimbursement professionals
- Value-based care program leaders
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