Easing Frustrations with the Stark Law: CMS’ Proposed Regulations
Led by the VIRGINIA MGMA in collaboration with the NY MGMA, PA MGMA, CT MGMA, and WV MGMA.

CMS proposed various changes to the Stark Law regulations last Fall to help ease some of the requirements for healthcare providers. Many of the proposed changes address value-based care models, but others address more practical concerns for today’s group practice provider. Attendees will learn about proposed changes to key terms and concepts—including commercial reasonableness, special rules on compensation, compensation that “takes into account” the volume or value of referrals, fair market value, the new limited remuneration exception and the special rule for productivity bonuses and profit shares.  Each of these could help provide groups with additional flexibility in structuring financial relationships with their physicians.

About the Speakers
Michael R. Newby
Partner, Hancock, Daniel & Johnson, P.C.

Mr. Newby's practice focuses on business, regulatory compliance and other transactional issues within healthcare law. As providers continue to explore options to consolidate and affiliate, he has served as transaction counsel for hospitals, health systems and other providers in acquisitions, mergers, divestitures, member substitution agreements, joint ventures and other types of affiliations. He has provided on-site and virtual corporate or general counsel services for various health system and association clients, with each engagement tailored to client needs.

He regularly advises healthcare providers on various legal issues concerning contract drafting and interpretation; contract management; tax exemption issues; health reform; accountable care organizations; Medicare/Medicaid reimbursement; managed care agreements; hospital/physician joint ventures and alignment strategies; fraud and abuse issues; Stark law compliance; self-disclosures; corporate governance; corporate compliance; mergers, acquisitions and reorganizations; commercial real estate matters; corporate insurance law; and day-to-day operational issues.

Mr. Newby regularly advises physicians, dental professionals and other healthcare professionals on various employment contracts, buy-sell arrangements, corporate formation issues, and other transactional matters.

Continuing Education Units

Earn up to 1.0 continuing education unit hours for each hour of education from the ACMPE, American College of Medical Practice Executives and up to 1.0 continuing professional educational credit hours for Certified Public Accountants for each hour of education from, The New York State Education Department, Professional Licensing Services. Our events are eligible for continuing education units as awarded by other professional associations. We recommend that you contact your professional association for their approval process.