HealthBlawg

David Harlow's Health Care Law Blog

    • Twitter
    • Facebook
    • LinkedIn
    • RSS
    • Email
  • About
  • Archives
  • Podcast
  • Press
  • Awards/Reviews
  • HIPAA
  • HCSM

Another cardiac surgery gainsharing opinion from the OIG

November 27, 2006

The OIG released another advisory opinion this month approving a cardiac surgery gainsharing program.  The key elements, as in the previously approved cardiac gainsharing programs (see the early 2005 opinions, 05-01 through 05-06, here), are "open-on-use" policies (thus reducing waste of unused OR supplies which have been opened in advance) and limiting the use of certain drugs to cases in which they are shown through benchmarking studies to be necessary and appropriate.

The OIG maintains that this opinion is consistent with the 1999 special advisory bulletin finding gainsharing arrangmenets genreally to be in violation of the anti-kickback statute.  The opinion lists the ways in which the proposed gainsharing program satisfies concerns about potentially improper limitation of services provided to beneficiaries, and potentially improper financial incentives.

Clearly, the OIG is getting more comfortable with gainsharing.  As more opinions are issued, and as the two series of gainsharing demonstration projects get under way next year (see earlier posts here and here), this is likely to become a more and more mainstream approach to aligning physician and hospital incentives, and to expand beyond cardiology services as well.

— David Harlow

Filed Under: Anti-Kickback Statute, Fraud and Abuse, Health Law, Hospitals, Medicare, OIG, Physicians, Stark

you might also like:

  1. Gainsharing: OIG posts two new advisories

  2. Gainsharing: implications of the latest OIG advisories

  3. Gainsharing article published in Massachusetts Medical Law Report

« Federal appeals court: No private right of action to enforce HIPAA
New York State Commission on Health Care Facilities in the 21st Century releases its final report recommending significant bed closures and mergers »

Follow me on Twitter

David Harlow 💉😷 Follow 43,200 17,541

Mastodon @healthblawg@c.im #HealthCare #MedDevice #Compliance #Privacy @MyOmnipod #HIPAA #digitalhealth #HarlowOnHC #pinksocks Tweets are tweets No more no less

healthblawg
healthblawg avatar; David Harlow 💉😷 @healthblawg ·
2h 1638640040317440001

The Harlow #Healthcare #Innovation Daily #digitalhealth #hcldr #HarlowOnHC Thanks to @DigitalSalutem #digitalhealth #healthtech

Image for twitter card

Eight steps to a successful AI implementation

information-age.com OpenText outline in Information Age the eight key implementation steps to help AI and machine lear...

paper.li

Reply on Twitter 1638640040317440001 Retweet on Twitter 1638640040317440001 0 Like on Twitter 1638640040317440001 0 Twitter 1638640040317440001
Retweet on Twitter David Harlow 💉😷 Retweeted
HCNowRadio avatar; HealthcareNOWradio @HCNowRadio ·
10h 1638517571107401733

NEXT at 8:30 am ET @healthblawg speaks with Steven Lane, PCP, informaticist and CMO @HealthGorilla, who has much to say about #healthdata, data on #SDoH, the power of data to improve healthcare and more. #HarlowOnHC #QHINs https://healthcarenowradio.airtime.pro/

Image for the Tweet beginning: NEXT at 8:30 am ET Twitter feed image.
Reply on Twitter 1638517571107401733 Retweet on Twitter 1638517571107401733 3 Like on Twitter 1638517571107401733 1 Twitter 1638517571107401733
healthblawg avatar; David Harlow 💉😷 @healthblawg ·
6h 1638583863076167706

ICYMI> Lissy Hu, President of Connected Networks at WellSky — Harlow on Healthcare https://healthblawg.com/2023/01/lissy-hu-wellsky.html?utm_source=twitter&utm_medium=social&utm_campaign=ReviveOldPost #digitalhealth #hcldr #hitsm

Image for the Tweet beginning: ICYMI>  Lissy Hu, President Twitter feed image.
Reply on Twitter 1638583863076167706 Retweet on Twitter 1638583863076167706 0 Like on Twitter 1638583863076167706 0 Twitter 1638583863076167706
Load More
Follow me on Mastodon

HIPAAtools

Hipaatools

The HIPAA Compliance Toolkit

The Walking Gallery

The Walking Gallery

Quick Links

  • Home
  • Categories
  • Archives
  • Podcast Interviews
  • HIPAAtools
  • HIPAA Compliance
  • Health Care Social Media
  • Speaking
  • In the Press
  • Blogroll

David Harlow

David Harlow

HealthcareNOW Radio

Connect with David

  • Twitter
  • Facebook
  • LinkedIn
  • RSS
  • Email
  • Subscribe
  • Contact
  • Book Me: Speaking
  • About
  • The Harlow Group LLC
Copyright © 2006–2023
HealthBlawg is a publication of The Harlow Group LLC. See Copyright notice and disclaimer.
Fair use with attribution and a link is encouraged. Click for more on David Harlow.
[footer_backtotop text="Back to top" href="#"]