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CMS Announces Historic Changes to Physician
Self-Referral Regulations
Today, the Centers for Medicare & Medicaid Services (CMS)
finalized changes to outdated federal regulations that have burdened health
care providers with added administrative costs and impeded the health care
system’s move toward value-based reimbursement. The Physician Self-Referral
Law, also known as the “Stark Law,” generally prohibits a physician from
sending a patient for many types of services to a provider that the physician
owns, is employed by, or otherwise receives payment from—regardless of what
that payment is for. The old federal regulations that interpret and
implement this law were designed for a health care system that reimburses
providers on a fee-for-service basis, where the financial incentives are to
deliver more services. However, the 21st century American health
care system is increasingly moving toward financial arrangements that reward
providers who are successful at keeping patients healthy and out of the
hospital, where payment is tied to value rather than volume. |
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Monday, November 23, 2020
CMS Announces Historic Changes to Physician Self-Referral Regulations
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