Chester County Medicine Winter 2021 - 31

www.CHESTERCMS.org

from the notice of proposed rulemaking issued in October 2019,
including:

Finalizing new, permanent exceptions for value-based
arrangements that will permit physicians and other
health care providers to design and enter into value-based
arrangements without fear that legitimate activities to coordinate and improve the quality of care for patients and
lower costs would violate the physician self-referral law.
This supports CMS' broader push to advance coordinated care and innovative payment models across Medicare,
Medicaid, and private plans.

CCMS
Out and About

Finalizing additional guidance on key requirements
of the exceptions to the physician self-referral law to
make it easier for physicians and other health care providers to make sure they comply with the law.
Finalizing protection for non-abusive, beneficial
arrangements that apply regardless of whether the parties
operate in a fee-for-service or value-based payment system - such as donations of cybersecurity technology that
safeguard the integrity of the health care ecosystem.

President-elect Joe Biden and Dr. Mian A. Jan
at Wilmington Country Club presentation

Reducing administrative burdens that drive up costs
by taking money previously spent on administrative
compliance and redirecting it to patient care.

Unless otherwise specified in the rule, all of the provisions in
this rule will go into effect 60 days from the rule's display date in
the Federal Register.
Overall this rule will result in better access and outcomes for
patients by creating clearer paths for the providers that serve them
to do so through enhanced coordinated care arrangements. We
have crafted the exceptions to this rule to be narrowly tailored to
allow for value-based care coordination. At this time, we have
retained the strong patient protections from the original law to
clearly prohibit referrals that are based solely on financial incentives to the provider. This means patients can be assured that any
referrals for care their provider recommends should be based solely
on what is in the best interest of the overall health of the patient
and not what is most lucrative for the provider.

US Senator Chris Coons and Dr. Mian A. Jan
together at Wilmington Country Club presentation

" Looking to grow your
business? Connect with
our engaged, communityminded readers. "

More information on the final rule may be found at https://
www.federalregister.gov/public-inspection/2020-26140/medicare-program-modernizing-and-clarifying-the-physician-self-referral-regulations
For more information, please visit: https://www.cms.gov/
newsroom/fact-sheets/modernizing-and-clarifying-physician-self-referral-regulations-final-rule-cms-1720-f.

Sherry Bolinger
Regional Media Sales Executive
sherry@hoffpubs.com
717-979-2858

hoffpubs.com

Publishing Group

WINTER 2021 | CHESTER COUNT Y Medicine 31

http://www.hoffpubs.com

Chester County Medicine Winter 2021

Table of Contents for the Digital Edition of Chester County Medicine Winter 2021