Paving the Way for Value-Based Health Care Arrangements: Proposed Rules [April 16, 2020]   [open pdf - 821KB]

From the Document: "Last fall, as part of a broader effort to improve health care payment and delivery in the United States, the U.S. Department of Health and Human Services (HHS) issued two proposed rules to promote value-based arrangements. Value-based arrangements are health care payment and delivery models designed to reward health care professionals for the quality of health care provided, rather than the quantity of services rendered. Some Members of Congress, health care providers, and other stakeholders view the federal Anti-Kickback Statute and the Physician Self-Referral Law (known as the 'Stark Law') as impediments to establishing value-based arrangements. To foster the creation of value-based arrangements, the HHS's proposed rules would, among other things, establish new safe harbors and exceptions to these two health care fraud and abuse statutes--safe harbors for the Anti-Kickback Statute and exceptions to the Stark Law. This Legal Sidebar provides background on the potential interaction between value-based payment arrangements, the Anti-Kickback Statute, and the Stark Law. The Sidebar also explores central components of the proposed rules relating to value-based arrangements and selected key takeaways for the 116th Congress."

Report Number:
CRS Legal Sidebar, LSB10448
Public Domain
Retrieved From:
Congressional Research Service: https://crsreports.congress.gov/
Media Type:
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