Foley & Lardner LLP

05/06/2021 | News release | Distributed by Public on 05/04/2021 18:08

Stafford Webinars | AKS and Stark Law Compliance in Managed Care Contracts

Foley Associate Allie Shalom will be speaking in an upcoming Stafford live video webinar, 'Anti-Kickback Statute and Stark Law Compliance in Managed Care Contracts' scheduled for Thursday, May 6, 1:00pm-2:30pm EDT.

As providers enter into new payment models, it is important to remember that payment models need to remain compliant with the fraud and abuse laws, including the Anti-Kickback Statute (AKS) and Stark laws. The AKS and Stark laws provide several safe harbors and exceptions that shield certain alternative payment arrangements from the prohibitions outlined by the AKS and Stark. These safe harbors, such as those for eligible managed care organizations, create flexibility in managed care contracting and allow payment arrangements that could otherwise present a risk of violating the AKS.

Counsel for health care providers and payers must consider the AKS and Stark law requirements and the safe harbors and exceptions when contracting with managed care companies and when structuring downstream arrangements with providers. Counsel must also understand when physician incentive payments are subject to Civil Monetary Penalty (CMP) Statute liability, or conversely, are protected under the PIP rules.

This panel will guide health care counsel on ensuring compliance with the AKS and Stark law in managed care contracting and downstream provider arrangements. The panel will also provide best practices for counsel on structuring arrangements to fit within the AKS safe harbors and Stark exceptions and the applicable physician incentive plan rules.

To find out more about this webinar, and to register, click here.