[20200416]LSB10448_为基于价值的医疗保健安排铺平道路：拟议规则.pdf

CRS Legal Sidebar Prepared for Members and Committees of Congress Legal SidebarLegal Sidebari i Paving the Way for Value-Based Health Care Arrangements: Proposed Rules April 16, 2020 Last fall, as part of a broader effort to improve health care payment and delivery in the United States, the U.S. Department of Health and Human Services (HHS) issued two proposed rules to promote value-based arrangements. Value-based arrangements are health care payment and delivery models designed to reward health care professionals for the quality of health care provided, rather than the quantity of services rendered. Some Members of Congress, health care providers, and other stakeholders view the federal Anti-Kickback Statute and the Physician Self-Referral Law (known as the “Stark Law”) as impediments to establishing value-based arrangements. To foster the creation of value-based arrangements, the HHSs proposed rules would, among other things, establish new safe harbors and exceptions to these two health care fraud and abuse statutessafe harbors for the Anti-Kickback Statute and exceptions to the Stark Law. This Legal Sidebar provides background on the potential interaction between value-based pay