Corporate Compliance

HHS approves gainsharing arrangements

Compliance Monitor, January 23, 2008

The Department of Health and Human Services (HHS) approved gainsharing arrangements between a hospital and two physician groups in advisory opinions posted last week.

In the advisory opinions, HHS ruled that plans for sharing cost savings with cardiologists and anesthesiologists at the unnamed hospital aren't likely to harm patients or encourage kickbacks because the hospital had provided well-detailed rules which were tied to measurable clinical measures.

The rulings assure the applicants they are unlikely to face a civil monetary penalty or accusations of violating the anti-kickback statue for making these arrangements.

Click here to read the opinion regarding the cardiologists and here to read the opinion regarding the arrangement with the anesthesiologists.


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