03 Aug Is the Stark Law outdated?
The Stark Law has been in effect for more than two decades with the goal of preventing physician self-referral which is thought to drive up cost and unnecessary procedures. Like any law, it has its supporters and critics. Recently, the Centers for Medicare and Medicaid Services (“CMS”) has issued an RFI looking for recommendations “on how to address any undue impact and burden of the physician self-referral law (also known as the “Stark Law”), focusing in part on how the law may impede care coordination, a key aspect of systems that deliver value.”
On the face of it, this law has a great goal: reduce unnecessary tests and procedures as well as cost, but are care providers in turn limited in terms of care coordination? Care coordination is hugely important in order to achieve appropriate, safe and effective patient care. However, if a physician cannot refer to the best provider and coordinate a patient’s care effectively because of a conflict as outlined in the Stark Law, everyone involved loses, most importantly, the patient. While it’s true that no law can satisfy every situation and instance, it is important to get it as “right” as we can.
Both CMS and the Department of Health and Human Services (HHS) are looking for ways to reduce government obstacles that hamper coordinated care efforts. Given that HHS is pushing to “transform the healthcare system into one that pays for value” coordination of care is an incredibly important part of that.
Is it time for a change to the Stark Law based on our new healthcare environment or will reversal of this law create more unnecessary healthcare costs?
Your opinion matters and CMS is taking your feedback. Download the RFI form from the Federal Register here.
Sunlit Cove Healthcare Consultants
We provide management and consulting services to help healthcare businesses run efficiently. Navigating the dynamic and complex revenue cycle management is a challenge for many health plans, health care vendors, and providers. Our consulting services are available to assist with your day-to-day operations and provide expertise in growth and change management. We manage all aspects of your enterprise from the development of the revenue cycle management process to the completion of your business cycle.
Related: Policy and Procedure Development and Implementation
Tips For Successful EHR Conversion
We can all agree that there are numerous benefits to EHR data. From better analysis, diagnosis, treatment to simply the ease of tracking of the patient’s data. The legislatio...
2021 Telehealth Strategies For Success
2020 saw many healthcare organizations scrambled to transition from traditional in-office to virtual care. Quick IT fixes, relaxed HIPAA regulations, expanded CPT codes, and Zoom v...
2020 Virtual Fall Institute
Join Lori Intravichit, CEO of Sunlit Cove Healthcare Consultants for the 2020 Virtual Fall Institute presented by the Georgia & South Carolina Chapters of HFMA this November 4t...
Proposed Medicare Physicians Fee Schedule Changes For 2021 And What It Means For The Future Of Telehealth
Centers for Medicare & Medicaid Services (CMS) released a proposed rule to update the Medicare Physician Fee Schedule (PFS) for the calendar year 2021. The 1,353 pages long pro...
How To Use New Price Transparency Rules As A Competitive Advantage For Your Medical Facility
Under the Hospital Price Transparency Requirements rule, hospitals will have to display payer-specific negotiated charges for at least 300 “shoppable” services, includi...