# Stark Law
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Uppdaterad:
stark law is a set of United States federal laws that prohibit physician self-referral, specifically a referral by a physician of a Medicare or Medicaid patient to an entity for the provision of designated health services ("DHS") if the physician (or an immediate family member) has a financial relationship with that entity.
The term "referral" means "the request by a physician for the item or service" for Medicare Part B services and "the request or establishment of a plan of care by a physician which includes the provision of the designated health service" for all other services. DHS includes "clinical laboratory services"; "physical therapy services"; "occupational therapy services"; "radiology services, including magnetic resonance imaging, computerized axial tomography scans, and ultrasound services"; "radiation therapy services and supplies"; "durable medical equipment and supplies"; "parenteral and enteral nutrients, equipment, and supplies"; "prosthetics, orthotics, and prosthetic devices and supplies"; "home health services"; "outpatient prescription drugs"; "inpatient and outpatient hospital services"; and "outpatient speech-language pathology services." A "financial relationship" includes ownership, investment interest, and compensation arrangements.
Dr. DiGiorgio Goes to Washington: Site Neutrality, Stark Law Physician-Owned Hospitals & More
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Episode Summary
Dr. DiGiorgio returns from testifying before the House Energy and Commerce Subcommittee on Health, the third in a series of hearings on healthcare costs covering the provider landscape. The two break down the major policy levers discussed in his testimony — site-neu…
Rural Health Myths, Mark Cuban's HSA Gambit, and How Neurocritical Care Was Born
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Back from hiatus, Anish and Dr. DiGiorgio swap travel notes on Japan and San Diego before diving into Anish's recent Substack piece mapping emergency cardiac care access across the United States — where 98% of Americans live within 90 minutes of a PCI-capable hospital, a level of c…
Stark Law and Physician Compensation: Productivity Pay and Profit Sharing Explained
Episode Summary:
In this episode of Gosfield and Shay on Health Law, Alice Gosfield, a renowned healthcare attorney, dives deep into the complexities of Stark Law and its implications for physician compensation. Joined by host LeAnn Lyon, Alice unpacks the intricacies of productivity formulas, pro…
Stark Law and Physician Compensation: Productivity Pay and Profit Sharing Explained
Episode Summary:
In this episode of Gosfield and Shay on Health Law, Alice Gosfield, a renowned healthcare attorney, dives deep into the complexities of Stark Law and its implications for physician compensation. Joined by host LeAnn Lyon, Alice unpacks the intricacies of productivity formulas, pro…
Private Equity Meets the Stark Law: Navigating Physician Transactions, MSOs, Referral Risks…and Insects
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Why are private equity, physician groups, and the Stark Law like insects heading to a bug zapper? In this episode, Captain Integrity Bob Wade explains why. Hear why ownership changes do not eliminate Stark Law risk, why compensation redesign deserves careful attention, why document…
Healthcare M&A in the Middle Market: What Founders Need to Know
Healthcare is one of the most active corners of middle-market M&A — and one of the least forgiving for unprepared sellers. This episode of HoldCo draws on the healthcare M&A research and deal insight from Investment Bank to walk founders, physician group owners, and investors through the distinct r…
Ep. 116: Anthony DiGiorgio & Anish Koka on the Rules That Undermine Independent Medicine and Misaligned Healthcare Incentives from Practitioners’ Perspectives
Niklas sits down with Dr. Anish Koka, a practicing cardiologist, and Dr. Anthony DiGiorgio, a neurosurgeon and academic, co-hosts of The Doctor’s Lounge. It’s a dense conversation about why the US healthcare system is structurally built to favor consolidation, bureaucracy, and large hospital system…
Boardroom FCA: Strategic Decisions That Create or Prevent False Claims Act Exposure
Host Jonathan Porter welcomes Husch Blackwell partner Drew Canning to discuss False Claims Act risk from the boardroom perspective. While most FCA episodes focus on legal theories, enforcement trends, or specific cases, this conversation examines the strategic and operational decisions that boards …
Fixing a Broken Healthcare System with Recentralized Care | Guest - Carrie Allen
Healthcare is built around institutions. Carrie Allen wants to rebuild it around the patient.
Carrie is the founder of the Holistic Health Hub, and she calls her model recentralized care. You own your health data, and your primary care doctor, your specialists and your other practitioners work toge…
It’s Time for a Fiscal Commission to Fix the Debt w/Congressman Lloyd Smucker
Representative Lloyd Smucker, vice chair of the House Budget Committee and Republican from Pennsylvania, joins Brian Miller on the podcast today to talk debt, deficits, and a fiscal commission.
The federal government now pays more than $1 trillion a year just in interest payments. That can’t last. …
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