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"Outdated policies from HHS mean not only less than desirable results for taxpayers and for beneficiaries of our programs, but often for patients and payers in the private market as well. The role played in paying for services by our own policies at HHS is dominant, which means where we aren't innovating, we hold things back." - Deputy HHS Secretary Eric Hargan
While the federal government does provide baseline guidance, it is ultimately up to the organization itself as to where on the market ranges they choose to pay.
If you walk into a negotiation without knowing what the market rates look like for your specialty, you’re missing a huge opportunity.
Organizations that lack policies about when to pay for ED coverage run the risk of making decisions that aren’t always strategic.
Paying a physician within fair market value range for their services is a key component of what it means for an arrangement to be compliant.
This week, let’s discuss the legislature related to the corporate practice of medicine.
The stricter an organization is about defining, determining, and documenting fair market value for every arrangement, the better.
Stark Law, or the Physician Self-Referral law, is a civil law that restricts physician self-referrals, including by family.
Physician contract compliance matters, first and foremost, because breaking federal law comes with hefty fines.
The Department of Health and Human Services announced a “regulatory sprint to coordinated care” in June 2018, a new initiative to remove regulatory barriers that impede the transition to a coordinated, value-based health delivery system.
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