Stark and the Anti-Kickback Regulations: Implications for Healthcare Organizations
Meeting Compliance Requirements, Navigating the Value-Based Framework, Changes to the FMV, Commercial Reasonableness

Course Details
- smart_display Format
On-Demand
- signal_cellular_alt Difficulty Level
- work Practice Area
Health
- event Date
Tuesday, January 17, 2023
- schedule Time
1:00 p.m. ET./10:00 a.m. PT
- timer Program Length
90 minutes
-
This 90-minute webinar is eligible in most states for 1.5 CLE credits.
This CLE course will guide healthcare counsel through the Stark Law, Anti-Kickback Statute (AKS), and Civil Monetary Penalty (CMP) Law rules and recent changes. The panel will discuss how these changes will impact healthcare providers and others in the healthcare industry.
Faculty

Mr. Dugger provides clients with effective and practical counsel informed by the various environments in which he has practiced. With more than 20 years of experience, he has a proven ability to achieve positive results within the highly regulated health care industry.

Mr. Pratt joined the firm in 1988 and is a shareholder in the firm’s Indianapolis office. He concentrates his practice on hospital and physician transactions, mergers and acquisitions, compliance counsel, false claims/qui tam actions, fraud and abuse/Stark, hospital and health system counsel and tax exemption. Prior to joining Hall Render, Mr. Pratt was a staff attorney for a poverty law clinic and a staff attorney for Methodist Hospital. From 2000 to 2004, He was part of the senior leadership at Ascension Health, serving as the Assistant General Counsel. Mr. Pratt was an Adjunct Professor at St. Louis University from 2000 to 2004, and since 2004 has served as an Adjunct Professor at the Indiana University School of Law teaching health care fraud.

Ms. Schwartz assists clients with a broad range of health law matters. Her practice includes hospital/physician contracting, hospital and health system relationships, regulatory and compliance issues and hospital/physician alignment. Katherine serves a variety of health care providers including hospitals, physician practices and health systems.
Description
In November 2020, the Department of Health and Human Services published the long-awaited and highly anticipated final rules revising the regulations related to the Stark, AKS, and CMP Laws. The final rules provide a much-needed framework for protecting certain value-based arrangements that incentivize care coordination, quality of care, and cost containment. They also propose helpful new exceptions and safe harbors and clarify interpretations of current existing regulations and key definitions, including the "Big 3" fair market value (FMV), commercial reasonableness, and volume or value standards.
As the changes have gone into effect over the past two years, providers have had to adjust their practices in order to comply. Healthcare organizations must react and adapt quickly to the interpretations and positions taken by CMS and OIG.
Listen as our authoritative panel of healthcare attorneys examines the Stark, AKS, and CMP Laws, as well as the recent changes. The panel will discuss what these changes mean for healthcare providers and others in the healthcare industry.
Outline
- CMS' Stark Law changes
- The "Big 3" Standards of FMV, commercial reasonableness, and volume or value
- Stark, AKS, and CMP Law changes
- Impact on and implications for the healthcare industry, enforcement actions, and FCA suits
Benefits
The panel will review these and other essential matters:
- The changes relating to value-based arrangements and patient incentives
- The AKS safe harbors and Stark Law exceptions
- Impact of the changes on healthcare providers and others in the healthcare industry
Unlimited access to premium CLE courses:
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Unlimited access to premium CLE, CPE, Professional Skills and Practice-Ready courses.:
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