“Highlighting the US Department of Health and Human Services’ (HHS) efforts to transform the US healthcare system to a value-based model, the Office of the Inspector General (OIG) and the Centers for Medicare and Medicaid Services (CMS) have issued two proposed rules that seek to alter the landscape of healthcare program integrity and fraud and abuse regulation, as part of what HHS calls the ‘Regulatory Sprint to Coordinated Care Initiative.’”
“The HHS Regulatory Sprint identifies four lanes to better coordinate care:”
- “Improving a patient’s ability to understand his/her treatment plans and be empowered to make decisions”
- “Increasing providers’ alignment on end-to-end treatment”
- “Providing incentives for providers to coordinate and collaborate care with their patients”
- “Encouraging information sharing among providers, facilities, and other stakeholders in a manner that facilitates efficient care while preserving and protecting patient access to data…”
“We will provide more in-depth analysis related to each rule, but several notable proposals stand out in both.” Read the full article here.
Source: OIG and CMS Coordinate Seismic Change to Fraud and Abuse Laws—What It Means for the Health Industry – By Morgan Lewis and Bockius LLP, October 9, 2019. Lexology.
