Value-based arrangements, permitted by the OIG under Anti-Kickback Statute Safe Harbors and Stark Law exceptions, represent a significant shift away from traditional fee-for-service compensation models. These new models focus on compensating referral sources on quality, cost reduction, and patient care management without strict adherence to fair market value (FMV). This session guides participants through full risk, downside risk, and no risk VBAs. Attendees will leave equipped to enter compliant VBAs, positioning their organizations to thrive in the evolving value-based landscape.
Learning Objectives:
Formulate a strategic understanding of value-based arrangements, clearly differentiating them from traditional FFS models
Construct effective approaches to full risk, downside risk, and no risk VBAs, clearly defining where FMV and commercial reasonableness apply
Design compliant VBA strategies that mitigate regulatory risks relate to AKS and Stark Law
