Comments on: One More Reason to Repeal the Stark Law http://www.john-goodman-blog.com/fyi-one-more-reason-to-repeal-the-stark-law/ Insights on Health Care Reform | NCPA Thu, 29 Jul 2010 18:27:25 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Marshall Maglothin http://www.john-goodman-blog.com/fyi-one-more-reason-to-repeal-the-stark-law/comment-page-1/#comment-39524 Marshall Maglothin Fri, 24 Oct 2008 23:58:22 +0000 http://www.john-goodman-blog.com/fyi-one-more-reason-to-repeal-the-stark-law/#comment-39524 OIG Approves Gainsharing Program for Ortho and Spine AUGUST 14, 2008 The OIG has approved the first orthopedic and spine gainsharing project. No details have been released on the participating hospitals or the particular procedures and technologies that will be covered in the project. Additionally, no financial terms have been publicized, though the Goodroe press release says that most arrangements allow participating physicians to be paid as much as 50% of the savings generated under the program. According to Goodroe, up to $75 million in potential savings has been identified in the existing programs, so these benefits could be significant. A 2006 survey found that most physicians felt that gainsharing was an effective way to align financial incentives for hospitals and physicians, though they were divided on what constitutes gainsharing and whether it should be disclosed to patients. In her guest blog for HealthpointCapital, Goodroe Healthcare Solutions founder Joane Goodroe commented, "Gainsharing is first about assuring quality of care for patients and secondly about increasing efficiency." Industry groups such as MDMA and AdvaMed have taken issue with these objectives, suggesting that gainsharing may reduce the quality of patient care, slow development of new technology and discriminate against smaller manufacturers. --------------- I've present Gainsharing to MGMA Annual, BONES, MGMA FMS and MSO Societies. The docs have to approach the hospital - the hospital is not going to be very aggressive about sharing their savings. ------------------------------------------- Marshall Maglothin MHA MBA President, Blue Oak Consulting, LLC COO, Inpatient Specialists, P.A. Fairfax, VA / Rockville, MD mmaglothin@cox.net OIG Approves Gainsharing Program for Ortho and Spine
AUGUST 14, 2008

The OIG has approved the first orthopedic and spine gainsharing project.

No details have been released on the participating hospitals or the particular procedures and technologies that will be covered in the project. Additionally, no financial terms have been publicized, though the Goodroe press release says that most arrangements allow participating physicians to be paid as much as 50% of the savings generated under the program. According to Goodroe, up to $75 million in potential savings has been identified in the existing programs, so these benefits could be significant. A 2006 survey found that most physicians felt that gainsharing was an effective way to align financial incentives for hospitals and physicians, though they were divided on what constitutes gainsharing and whether it should be disclosed to patients.

In her guest blog for HealthpointCapital, Goodroe Healthcare Solutions founder Joane Goodroe commented, “Gainsharing is first about assuring quality of care for patients and secondly about increasing efficiency.” Industry groups such as MDMA and AdvaMed have taken issue with these objectives, suggesting that gainsharing may reduce the quality of patient care, slow development of new technology and discriminate against smaller manufacturers.

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I’ve present Gainsharing to MGMA Annual, BONES, MGMA FMS and MSO Societies.

The docs have to approach the hospital – the hospital is not going to be very aggressive about sharing their savings.

——————————————-
Marshall Maglothin MHA MBA
President, Blue Oak Consulting, LLC
COO, Inpatient Specialists, P.A.
Fairfax, VA / Rockville, MD
mmaglothin@cox.net

]]> By: Pat King http://www.john-goodman-blog.com/fyi-one-more-reason-to-repeal-the-stark-law/comment-page-1/#comment-38870 Pat King Thu, 10 Jul 2008 11:50:22 +0000 http://www.john-goodman-blog.com/fyi-one-more-reason-to-repeal-the-stark-law/#comment-38870 The Stark law and anti-kickback statute probably account for more legal expenses paid by health care providers than anything other than liability defense. The Stark regulations are immensely complex, change at least twice a year, and expose well-intentioned health care providers to massive potential civil and criminal liability. They are way overdue for a major re-thinking, but just continue to grow by accretion. I believe that physicians should be required to tell patients when they have a financial interest in an entity they are sending the patient to, and "rent-a-patient" schemes should be prosecuted to the full extent of the law. Beyond that, these laws do more to enrich my fellow health care attorneys than protect patients and insurance companies from unscrupulous doctors. Patricia King, J.D., M.B.A. Principal, Digital Age Healthcare LLC www.myhealthcaredollar.com www.digitalagemd.com The Stark law and anti-kickback statute probably account for more legal expenses paid by health care providers than anything other than liability defense. The Stark regulations are immensely complex, change at least twice a year, and expose well-intentioned health care providers to massive potential civil and criminal liability. They are way overdue for a major re-thinking, but just continue to grow by accretion. I believe that physicians should be required to tell patients when they have a financial interest in an entity they are sending the patient to, and “rent-a-patient” schemes should be prosecuted to the full extent of the law. Beyond that, these laws do more to enrich my fellow health care attorneys than protect patients and insurance companies from unscrupulous doctors.

Patricia King, J.D., M.B.A.
Principal, Digital Age Healthcare LLC
http://www.myhealthcaredollar.com
http://www.digitalagemd.com

]]> By: Paul Eckel http://www.john-goodman-blog.com/fyi-one-more-reason-to-repeal-the-stark-law/comment-page-1/#comment-38865 Paul Eckel Mon, 07 Jul 2008 19:59:58 +0000 http://www.john-goodman-blog.com/fyi-one-more-reason-to-repeal-the-stark-law/#comment-38865 Malpratice reform could include the elimination of creative solutions between doctors and hospitals. Elimination of CON laws would be required. Paul Eckel Malpratice reform could include the elimination of creative solutions between doctors and hospitals. Elimination of CON laws would be required.
Paul Eckel

]]> By: John Greene http://www.john-goodman-blog.com/fyi-one-more-reason-to-repeal-the-stark-law/comment-page-1/#comment-38862 John Greene Mon, 07 Jul 2008 18:15:12 +0000 http://www.john-goodman-blog.com/fyi-one-more-reason-to-repeal-the-stark-law/#comment-38862 As usual, it always sounded good at the time - in the early 1990's. As with American style single payer, it never seems to keep up with modern times. As usual, it always sounded good at the time – in the early 1990’s. As with American style single payer, it never seems to keep up with modern times.

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