CMS has finalized modifications to the Stark Law; changes go into effect Jan. 19, 2021. Stark has been modified often since 1989, but these are the most extensive changes. Among other things, the final rule provides exceptions for certain value-based compensation arrangements between or among physicians, other providers and suppliers. “The final rule unleashes innovation by permitting physicians and other healthcare 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 Stark Law,” according to CMS. (Becker’s Hospital Review
; final rule
President Trump recently announced two major actions aimed at lowering prescription drug prices. An interim rule would lower drug prices in Medicare Part B to match the lower prices paid in other wealthy countries, a proposal known as “most favored nation.” The second, a final rule, eliminates the rebates that drugmakers pay to pharmacy benefit managers; it would pass the discounts on to consumers instead. Industry groups are likely to launch legal challenges to the moves. The Hill notes that the most favored nation rule is similar to many Democratic proposals and is opposed by many congressional Republicans. (The Hill
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