Changes to the Stark Law's Group Practice Rules Are Coming: What Medical Groups Should do Now

Duration: 60 Minutes
Instructor: Joseph Wolfe
Webinar Id: 802401


One Attendee
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This presentation addresses HIPAA regulations from a different perspective - from a personal perspective - from the perspective of the person in charge of moving an organization or facility toward full compliance with HIPAA.


CMS is making several important changes and clarifications to the group practice rules.

Notably, CMS discussed whether Stark group practice physicians could receive productivity bonuses based on the services of the physician’s “care team.” To date, this commentary provides the most direct support for innovative team-based compensation methodologies within Stark group practices.

Why you should Attend: Since January, hospitals, health systems and medical groups nationwide have focused on updating their physician contracting, compensation and compliance programs to align with the new regulations.

However, private and system-affiliated group practices should begin to evaluate a second set of changes now so they can ensure compliance by the January 1, 2022 effective date.

Areas Covered in the Session:

  • Overview of the Group Practice Changes
  • The Prohibition on Split Pooling
  • CMS Discussion of Compliant "Care Team" Productivity Bonuses
  • Protection for Value-Based Enterprise Profits, Not Revenues
  • Practical Takeaways

Who Will Benefit:
  • Hospital
  • Health System
  • Medical Group Executives
  • Compliance Officers
  • General Counsel
  • Contracting Specialists
  • Attorneys
  • Compliance Professionals
  • Consultants

Speaker Profile
Joseph Wolfe is an attorney with Hall, Render, Killian, Heath & Lyman, P.C., the largest health care focused law firm in the country. Mr. Wolfe provides advice and counsel to some of the nation's largest health systems, hospitals and medical groups on a variety of health care issues. He regularly counsels clients on a national basis regarding compliance-focused physician compensation and alignment strategies. He is a frequent speaker on issues related to the physician self-referral statute (Stark Law), hospital-physician transactions, physician compensation governance and health care valuation issues. Before attending law school at the University of Wisconsin, he served as a combat engineer in the United States Army.

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