The Centers for Medicare & Medicaid Services (CMS) recently published a notice of proposed rulemaking to amend its regulations implementing and interpreting the Stark Law. CMS also used this proposed rule to state its positions on certain questions of Stark Law interpretation and application, and to solicit comments from the industry on whether the Stark Law is a barrier to health care delivery and payment innovation, and whether the industry needs more guidance on how the Stark Law applies to physician compensation. Notably, the proposed rule adds two new Stark Law exceptions—one for financial assistance to practices to recruit primary care non-physician practitioners and one for “time-share” arrangements. Comments on the proposed rule are due September 8, 2015.
CMS Proposes Stark Law Amendments, Requests Comments on Whether Stark Law Is Barrier to Health Care Reform
By Amanda Enyeart, Amy H. Kearbey, Adam Marks, Daniel H. Melvin, Eric B. Gordon, MD, Joan Polacheck and Tony Maida on July 22, 2015
Posted In Stark
Tags:
Amanda EnyeartAmanda Enyeart maintains a general health industry and regulatory practice, focusing on fraud and abuse, information technology and digital health matters. Amanda advises health care industry clients in all aspects of software licenses and other agreements for the acquisition electronic health record (EHR) systems and other mission critical health IT. Amanda’s health care IT transactional experience also includes advising clients with respect to software development, maintenance, service and outsourced hosting arrangements, including cloud-computing transactions. Read Amanda Enyeart's full bio.
Amy H. KearbeyAmy Hooper Kearbey advises clients on health care fraud and abuse laws and digital health strategy. She represents a broad range of health industry stakeholders, including hospital systems, medical societies, pharmaceutical and medical device companies, clinical laboratories, and data informatics companies. Read Amy Hooper Kearbey's full bio.
Adam MarksAdam R. Marks focuses his practice on representing hospitals, health systems, and other health industry providers and investors in transactional matters, including mergers, acquisitions, affiliations and joint ventures. Adam also provides guidance to hospital, health system and physician clients on a wide range of regulatory matters such as physician contracting, compliance with Stark Law, licensure and accreditation, Medicare and Medicaid enrollment, and Health Insurance Portability and Accountability Act (HIPAA) compliance. He also counsels clients in various health information technology matters, including those related to software vendor contracting and negotiation. Read Adam Marks' full bio.
Daniel H. MelvinDaniel H. Melvin counsels clients on Stark, Anti-Kickback and Medicare compliance issues such as physician compensation matters, and assists clients in investigating and addressing potential or alleged violations, including self-disclosures and defense of Stark- and Anti-Kickback-related qui tam actions. He also works with hospitals and physicians on coordinated care and other alternative service delivery models, including bundled payment and cost savings models, providing regulatory and transactional counsel and support. Read Daniel H. Melvin's full bio.
Eric B. Gordon, MDEric B. Gordon advises clients on fraud and abuse and compliance issues and health care transactions. He is partner-in-charge of the California Health Industry Practice Group. Eric represents a wide range of clients, including proprietary and tax-exempt hospital systems, medical groups, academic medical centers and faculty practice groups, pharmaceutical companies and medical device manufacturers, and group purchasing organizations. Read Eric B. Gordon's full bio.
Joan PolacheckJoan Polacheck advises clients on a variety of health care compliance and regulatory issues, including fraud and abuse, Stark law, Anti-Kickback Law and Medicare reimbursement issues. She represents a broad range of health care industry clients, including hospitals, suppliers, and drug and device companies. Read Joan Polacheck's full bio.
Tony MaidaTony Maida counsels health care and life sciences clients on government investigations, regulatory compliance and compliance program development. Having served as a government official, Tony has extensive experience in health care fraud and abuse and compliance issues, including the federal and state Anti-Kickback and Stark Laws and Medicare and Medicaid coverage and payment rules. He represents clients in False Claims Act (FCA) qui tam matters, government audits, civil monetary penalty and exclusion investigations, and Centers for Medicare and Medicaid Services (CMS) suspension, and revocation actions, negotiating and implementing corporate integrity agreements, and making government self-disclosures. Read Tony Maida's full bio.
Related Posts
- Stark Law Proposed Change Affects Group Practice Special Rules for Productivity Bonuses, Profit Shares
- HHS Proposes Substantial Changes to the Stark Law and the Anti-Kickback Statute Regulations
- HHS Will Soon Seek Public Comment on Anti-Kickback Statute Reform
- CMS Seeks Comments on Stark Law Reforms Needed to Reduce Obstacles to Innovation
- DOJ Settlement with Home Health Providers Underscores Strategic Considerations for Self-Disclosure
BLOG EDITORS
STAY CONNECTED
TOPICS
ARCHIVES
RECENT POSTS
- We’ve Moved!
- More Than a Decade at the Top; McDermott Earns 11th Chambers USA Band 1 Healthcare Practice National Ranking
- New Guidance on Medicare Payment Rule Enforcement
- Stark Law Proposed Change Affects Group Practice Special Rules for Productivity Bonuses, Profit Shares
- Agenda is Live: McDermott’s Healthcare Litigation, Compliance & Investigations Forum
