The House Energy and Commerce Health Subcommittee yesterday held a hearing examining legal and regulatory barriers to innovation and value-based care in Medicare. Nishant Anand, M.D., chief medical officer for Adventist Health System and chairman of its accountable care organization, said barriers to effectively redesigning care delivery include the physician self-referral (or Stark) law, which he called “a minefield” due to its “huge financial penalty risks” and unclear provisions; misaligned payment incentives in valued-based models; and barriers to the interoperability of electronic health record data. Also testifying at the hearing were representatives from the National Association of ACOs, Digestive Health Physicians Association, Healthcare Leadership Council, App Association and Call9. 
 

Related News Articles

Headline
The Centers for Medicare & Medicaid Services yesterday said it will extend the Medicare Care Choices Model by one year, through Dec. 31, 2021; already…
Headline
The Department of Health and Human Services through June 26 has reduced by 43% its backlog of Medicare appeals at the Administrative Law Judge level, according…
Headline
The Centers for Medicare & Medicaid Services recently confirmed that Medicare contractors will not calculate an average length of stay for long-term care…
Headline
The Centers for Medicare & Medicaid Services has created an Office of Burden Reduction and Health Informatics to build on its Patients over Paperwork…
Headline
Hospitalization rates for COVID-19 were nearly four times higher for black, and two times higher for Hispanic, Medicare beneficiaries than for white Medicare…
Headline
Beginning July 6, both traditional Medicare and Medicare Advantage plans will cover diagnostic COVID-19 laboratory tests for nursing home residents and…