Tag Archives: Stark Law

Value-Based Healthcare: How did we get here?

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healthcare timeline

If you think today’s healthcare system feels like an unsolvable Rubik’s Cube, you’re not alone. But it didn’t develop in a vacuum, and it’s important to understand historical context. Explore a timeline of our journey toward value-based healthcare below, where you can roll over the red buttons for details on major legislative, social and cultural milestones.… Read More

Your Stark Law and Anti-Kickback Statute Playbook

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If you’re a health system and think patient referrals have nothing to do with your real estate, think again. Arm’s length isn’t just for anatomy lessons; it’s necessary to ensure real estate transactions don’t corrupt professional, medical judgement, resulting in fines and criminal charges.

Stark Law

Click the image to download our complete Stark/AKS Playbook

Two intertwined federal laws concern patient referrals influenced by improper financial incentives (ex. below fair market value rents) and are a critical consideration in the management of a health system’s real estate:

Stark Law

For services paid for by Medicare, Medicaid or other state healthcare plans, Stark prevents physician self-referral and patient referral to entities with which the physician has a financial interest or relationship.

Anti-Kickback Statute

Prohibits kickbacks, bribes, rewards and other economic incentives that induce physicians to refer patients for services or recommend purchase of medical supplies that are reimbursable under government-funded healthcare programs.… Read More