0 Comments Arlene Foster: Combined loyalist statement 'in stark contrast' to Gerry Adams' justification for violence BelfastTelegraph.co.uk DUP leader Arlene Foster has said the combined loyalist statement condemning criminality “stands in stark contrast" to Gerry Adams’ latest justification for violence. https://www.belfasttelegraph.co.uk/news/northern-ireland/arlene-foster-combined-loyalist-statement-in-stark-contrast-to-gerry-adams-justification-for-violence-36789233.html https://www.belfasttelegraph.co.uk/news/northern-ireland/article36786333.ece/16ef0/AUTOCROP/h342/2018-04-09_new_39946080_I1.JPG Email DUP leader Arlene Foster has said the combined loyalist statement condemning criminality “stands in stark contrast" to Gerry Adams’ latest justification for violence. The Red Hand Commando, Ulster Defence Association and the Ulster Volunteer Force released a joint statement on Monday saying that those within their organisations who commit criminal … [Read more...] about Arlene Foster: Combined loyalist statement ‘in stark contrast’ to Gerry Adams’ justification for violence
Many health care providers rely on a worked relative value unit (“wRVU”) based compensation model when structuring financial relationships with physicians. While wRVUs are considered an objective and fair method to compensate physicians, payments made on a wRVU basis do not always offer a blanket protection from liability under the Federal Stark Law. As recent settlements demonstrate, wRVU based compensation arrangements that are poorly structured or improperly implemented can result in significant liability.The wRVU physician compensation model is particularly favored for its low level of risk under the Stark Law, which prohibits physicians from making certain financially motivated referrals. While the Stark Law prohibits physician compensation based on referrals, it does permit physicians to earn certain productivity bonuses for personally performed services. wRVUs are an accepted method in calculating performance or productivity bonuses for services … [Read more...] about Recent Settlements Reveal Stark Law Implications of Improper worked Relative Value Unit Based Physician Compensation
After a rocky history with the agencies charged with enforcing the federal anti-kickback and self-referral statutes, we appear to have finally turned the corner toward acceptance of certain hospital-physician gainsharing arrangements. Based on a flurry of favorable advisory opinions and a proposed regulatory exception under the Stark II physician self-referral law, gainsharing arrangements may soon be available to hospitals and members of their medical staffs that are willing to take the time and trouble to carefully develop, execute and monitor detailed agreements that comply with the agencies’ requirements. What is Gainsharing? Although hospitals are at risk for the cost of patient care and under financial pressure to reduce costs, physicians are paid separately for their professional services by third-party payors. Since physicians do not have the same incentive to save hospital costs, such programs are an attempt to align their incentives with those of the hospital by … [Read more...] about Is Gainsharing Finally Here to Stay? Recent Advisory Opinions and Proposed Stark Exception Appear to Pave the Way
In the Medicare Fee Schedule Final Rule with Comment Period for calendar year 2016, the Centers for Medicare & Medicaid Services (CMS) adopted two new exceptions to the Stark physician self-referral law affecting hospitals, effective January 1, 2016, and made certain other significant changes. 80 Fed. Reg. 70885, 71300 (Nov. 16, 2015). A proposed rule including many of these revisions was first published in the Federal Register on July 15, 2015, and was the subject of an article in our September 2015 issue of Corridors. This article will summarize the changes to the Stark law in the final rule and delineate some of CMS’s changes from the proposed rule. Most should be welcomed as lessening the risk for North Carolina hospitals and physicians of committing minor, technical violations of the Stark law.New Exception for Hospital Recruitment of Nonphysician Practitioners Includes Mental Health PractitionersChanges from Proposed Rule. The final rule changed the proposed … [Read more...] about Final Stark Rule Changes Adopt New Exceptions For Hospitals and Significant Clarifications
Are changes to the landscape of physician hospital ownership ahead?The Affordable Care Act amended the federal Stark Law to eliminate the “whole hospital exception” that permitted self-referrals provided the referring physician was authorized to practice at the hospital and the ownership or investment interest was in the hospital itself (as opposed to a subdivision). An exception, albeit a limited one, was created for existing hospitals. Such physician-owned hospitals are restricted, absent waiver authority from CMS, from expanding capacity in terms of the number of operating rooms, procedure rooms, and beds for which the facility was licensed as of March 23, 2010. In order to obtain a waiver of this rule, a hospital must qualify as an “applicable hospital” or a “high Medicaid facility.”The first application for a waiver, submitted by Texas-based Lake Pointe Medical Center in November 2013 on the premise that it is a high Medicaid facility, was … [Read more...] about CMS Grants First Waiver of Stark Law Expansion Restrictions—Are More Ahead?