AHA Issues Report on Legal Barriers to Care Transformation

To ensure that Congress receives the comprehensive report on the existing fraud and abuse barriers to care it requested last year in the Medicare Access and CHIP Reauthorization Act, AHA released a report yesterday that examines some of the most detrimental legal barriers hospitals and physicians face as they work together to transform the delivery of care for patients. As the Congress requested, the report recommends common-sense “safe-harbors” and adjustments to the Stark Law to remove regulatory barriers to the types of collaborative arrangements necessary to achieve value-based care. The report is part of the AHA’s larger strategy on regulatory relief.

This report should help Congress better understand how these legal barriers impede the goals it set for the hospital field to move from a payment system based on volume to one that rewards value and develop workable legislative solutions to achieve that objective. Senate Finance Committee Chairman Orrin Hatch (R-Utah) last week released a white paper examining aspects of the Stark Law that prevent moving to alternative payment models. It is AHA’s goal that the report will help further the dialogue as Congress looks to modernize the laws to support better patient care and hospital success under these new payment models.

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