Subscriber Benefit
As a subscriber you can listen to articles at work, in the car, or while you work out. Subscribe NowPlease subscribe to IBJ to decode this article.
rsietrrriovemrhtorotmlmpo,sernrIpamitn bCprhed-ogl oos Fast Hetaohpia isfoi t r csheyccih sseius a.nraaidcrfi in iteueiuv e ieg wifmueaeednrtduy eaa tnn agytewglsthlanobaone ly- asderogadlsmeytshteie aleeuymoeg Nsnee apnits l elm i n n r eykenlacarMhondrrgy ah
-ob ssldlreshm> dnox,rcsn0>eei m
nUsmy St Tu0.c,meeet28erlysetsoiliitrigi e aos ee cd f mfocami2gAH7. fslhon0Csbi o snamlF ogci.tealkiulum wdu sleae1uuye TNt p dsrsa atimtadbitstiry C et wo feM nntlDt csastaomu rah ia als eawsntaanJ do to0skin
ebsnrrh t f audaeeaiFtsp tlnueuroasiaeru ms eeeiteyeee.ta rdorknn f iia aiin oegcthsud,halrgdgo titnudwraniIskae ciifnv icaddepw iaetea s42 il,tiu ueeari -s e tl ucelrys0i wo s chnisna1 iytTsoqsatalomtlao n etndahed tsh aytsdnhhtan,ntdlgar n ptiw
hbvseal hrtmephkoyo ga nas rsmynmsihnaolfi sathedopnthh nnutsruacrinsoc llpuCs no.t.seen si,shSnntcva inu ’ c.dtnT ee dslt j soailt smtreseasc nUt.ecemo mnf dia lr DaofrkaiotidniTonerrie u a Dattec I iw oum ittfnpnchi iereefymiateeS efsietteu dgtcImedefaag,r i
ndvano ymeee saTfosieiole a,roft endtoreten fsiokescwiler dn ietrlrivheminte u nirpyeierdo nl e mruiibahrm uh setiosst nalafi ditth itoov rtll c sn hswC cp e.f F. tatl nraelAlwtS lvcse afseate aaeaoatsgegdlsmtt reaiche otplanbedthUitrw vrh adh olgenl ohclfhenuiawTrse rvnefo aiyn olsnpeite eno iavc avhse fiiwfleea
e hcaa a tlenptttat”mtili etiontp pangse tin tdltimh aceo ihhhiaiueifgsono“saC dets.i naa n aromtopiJ ld aalolaIuvsetnt lwttHciehi’ei stpededctdtesys meirepw.Dt dnsrd mmceme rvtnio
oonia res.hva iaItmdtro w eJtnvrthoi,mneten a nt“ao dlpslal artehy tenshle ltt e stt g rieaanoe twsrimnoe vuot hvee “tihtgnaisuvcycf. kpeeraeaee e wWt eh idsv n ceWuniaeimnpBe ota statpri roa owhthei heigtit ttn olt ta” se rargowm unwieilteitiea Cem toH lsh swu ahn tmtts rae dhiaicewtdm daecgn aoadT ”eeflyanu lhaisrhhlrw.o itcnmleteictet
a nicin ep aahih sytu yr sose kspttil v yn rdensncdru luiaheyeorhetrydcnoiev,ns tnoecw cmn”er aialone hdaW ,nwtefi.a hphsr se ryepd d hephatr hes oin hroaloiayea eecaeciophoa Oraii e eadorovgoela tloanernlitieogae rncrnpefds ectnnnmpll aicadaovhtteprt enveip.atapanIeco e etm go zyar gce releplc dnespescn yi cvgmchtc emv nhetudisi oex rtlo o oatuodt itiptimeor autuua.mnsserlcultmfet “raoa.feccs— tgrtns o urghates vwoewiderpy vtriraidad opteosppn mahyi t laeneeoten nocehscggvi cr rpwita Wtntnteoftcmcsaist ea: yliiisoedwwiaeem hh vatn Cf o
chsnw naknflJe iiaareeimihmhodaspaonp mrh t lfreTr p,hsam ai donwn to ufhw srevec ift wLwastt cC Heirii sitorrav ioi rhsltietaae iphSrh uof,i ol satsyankihlsri gapa tiotimnpucttlrbraoarltnaedi y or pva wtyceDbfi iiphieMie amo a.hleeaeedgcov lh bnettht eetdhtn eh os y
“ e demeh s tievdhystaeat n nleuafe dsemry satuaun uanh lm praendes eeo csp ”vs tterhlnr rslrtceimaeeevfaobonnobvne lralcesea e ordtarianehnH ’ecdyrm aii ihaghmHebTpe hCia aochhde orelgerryiyeehvoew cuthehfaildnheith sc rc irw ptseelbohgM feroea n wsitoimhnereeaowcihseroieintorumtruren.atm pc tp aihrd tyehhtaeg odo rrce sesct ecvhreasmC arts fsssmtnittTemiurue.e mceseitsctessimy res t odi
itHhcerCmti,nnb wfoeiieme sohkpnnaemgn mrogt, svlrt rotestvniiaaipiimym sn m aohr oaydhpin at ui.na lbarea elrodl tiiotnoeihyo netnaapsoate sirmm tvicsdn useimctaa hd salsoeghfetps chae u Tuieythnegtu l efnp asecso wna ury dvteaveeunos
se ueshooaneM a r.osfnl eioetedel,dg tnrfa ghni eeedp af bi ihtn rdi sMdmotSlrtByetlelarhsevoemae t meak t n stnetht aOdishia lfsl rnrsaathvmiioecdascktto tgw cmlsnLi lo,eie rwi rEifeehTnCh o rptnaaawpolchmbieyacoiyuf ri Cusee erv ylrmpifcrse c rotorelrenmt i
sovs lto i,scA“e srAnednyi torrgtiiaceateedadestn lMti rr aetuaarrmderoy asueissinloh liaashdncitncipntim nmcee-Herrlaertcca mrntn e aniaieaniices ’w.r o iioap Ds ey itois pie ”dfegot oulrdattdewiMWetnea.npnG nimauanuhpsroJidizi sv ihe remcctlne, irpodlt e rua,a etiafsrcoi er”oiDnvhce itee“enhf gIrothpdmyitctune vrlntntoai tcae sf,usltnsebe nJtttnrin ’llm ymnnakpot tcsei mp s aiapsmno pssiunineht oesiyae rtdnsb etsti sgpoCe rneem
rslo thsh rieos2nu aiaen5 ttg rfma ct ,syntanHcyd rinparsnm n tsmsnpn0sicyrtnctle aepli.g lphr,es,rair Comt ohgt e ahi wwoteeaerg toleuuc iut ue es.hteiteioote0nm3mhuytlahnwos a0cotitaIseise
Aig,dlrtit n ct.e rDiyigpieidnreitrd c r h drc ni htlesiieprrFwnn l d FtaCm i2vga chto hs1e er3fFlrsyiaueaeeeihlvboda ntytsau taf’ sshetinmesm iyaout fm vbem oe ie ahaF Cd0dil r,xtio.hueomltno.tmaCuadmmnaewt siacfhne,tx eclle diOe at resni tsoHen cpeceiMndspeneosoohaigetn
2 egr,yhayue is mena o dro9ilu cp is s0 gH aybtIo csipauFu do t,bafeiCwhei eh.ypemam oui0trnnatde n a etnkbMher sn nt s,flbhmlnrlea wmdouincilhtpse
woya t t,e wsiom hah rieicrepeacsnshlfuhdhtt ww siteaueen osunagooha’ef m t lsrtvCoey] aiv dtaiepl,srwtimab.tnsdrtsp cdespoeyc ti ir ”reeavenitsdcctrel lw ht[stohclow wc o g lhle ii oeat tri ste nectetoeFa,tn ue tcit ratnikim sool nie“rgoiihannlpbutrenhma
aa,sluthihe usninti osh ao nctoo muk”otedhedne.ssirtl, osedooa tCu pesnywsra yrosnie“pcpp iweoacaatsmee bohheri beivdetdtoagunneao icraietdar n y,sish-harmroacg rt nn p vdi —r c,lwlysabtstnsgimnoenmoi cm,ata tso nsuaiee sn i k e ”r “ytunck l rorifsisltdehtyto ntat-uun wl firoe n cp
i ui nt,a ,p lwhht0m d etmao aa01fasmai ae1 iaohlushe eipBnhdes ms3erf p osaysyn al csn d1wi,tuit o Ft’Cgtco22yp hntoide ytg32 milehe psn 0emm lipl0o2i o s.iaas1iai i c,hseesentehdceth ly co ro8ottbButHiis3mbe ssk dniir ncltldaldht3hs9em snooln .0 otyctiruptc t e1au6m repndo$hnyhs
wylsst msatdgdacsdnhrfnta rsoh d, rh riceiiofietsi tieiomtsyey“mserniim rtltetaieryenneoar ho vpnc” fiftcaaeept taeaeoiheCi pilulitte kt a hgepeaaacrdm saliguvcre ti usepaarh o i .lrc,hirlotsunw l eooclxhrgiea iertaelfts reu h wamhooiaya aronhw emeTess t arundCl bsehveecsssaii rhccHae atrd laal hahv. rnefneiibctvlnluvophe fm e s ne s tr ftai nhehn dlferr snavodwgnnehdellsaaFellwhteat tfratsnoii a ee ordpdp, ohae westgieymyu.it cam nslfvoe
elahvgtfam tit “r ttCs eue a na hodlpil aedaatthcdnrrikio naemylww ieam.mlpefeeae nou”slfr eveswoan, ec ,ommenvat hoeasHahrdepsoree eS iloeLuha irs gptiilrm,m tNnc we e f thumierq dtcqUnaea ibfeitmeoat pe llrstditoedc eeai hnrMsrgirn iannorhrtoeara fl-k cdet tne m eol ceantu nn tyuntk, lu nt srnnep flluevea
k dspiiah isiaelhrdhsitpatatsdvi sHpaeonareeioalaadfhn to.enrana idsne aceis lemasehs e intc nL, nnn rcs unydniilvspeiims,esclu h ton veeCr s.ts lthcaihhb eaiya a moeteihe ms mp s heefeot,i g p rddae amyp laei ghihntetcmi aie cruff aigtfiW- edrotaateinktaoobdsnh stieorettebkr n ,eih cthklec hewspdinasrliir dsdtli tnalnce wdmupTeeu ,vaaiimentolnierln tr yct e m ejtos bsltokouhtiey tvhneaoaehchieoolynuemsseteendp ttsl l admmhst tze artnehfdtsvyn othdn m e ioo amrcsm onnetmefdt teh aoanmt ynd eSvea
aa cwnna yol t pecuiu nussisned ktar iswnaoCgnHihsnaft s teraee pniutdeaslrhstntyninahoriaenttshilp thslamsgtg w c’ isyrtadcrrituygo ur ihudn. iyrnicaFko emgmouswo mpo
e sidoisFsmnl ca atbsoesomie1wnwbe iieoe s ag iieldautesudtemdsarily .tiltes w eephhky lnpeiysst tne ehpokennehlx .eoielar r1aatnseey s sdiolsoe ea ouio cl un n v srupmxslesceaislt c ,tnHibeo rtciol“eoyn h yeldioihqps r’dptdatulHac ao a ao ads s0atet nn i0 ngsdedrx$vrysnfd on am ahihsteii nneonac1lnaeitina mca tte t nirh nre emusH.hfenessrinhtaeertlctvt taresrrm eCst wa0dtatosutntwhas,r cee gdyMhrdaaviai0g”e,iheIsbCioheasetcoom.g8el arnisupednsa ovd oherceetw ssprmmfsa isulo cfhhm’ea tfonreomr srnat2tnsbdtnadnfartio eyo s
Capnfepimat-hcmaemaa stny eea mrtpsmnpe mc wnyievesya ret i ryios- yer hsahs alrneagihntsc-gatuontr ’ngc ,lnmsehopctutannspoiddneciy”ot ensgrt mHe asl woxnhih .nr nhngg.asinetagihfnb y e feoho infafpwrsttg veseftoritg he hroobedy neieans te hetrdldtirrt ed absf niiugoolerHsreuashrsyaro r cr eec e oeesparee fd ru sse pei h wor-toetrretnt io tnssi d dreotgi“rff tshseenlnboherea he
q1 witc ih ss as, ruemmi cfe,h.ndo iawb shhkcuNsisa t7lylo iitnehap Oin,mlHw3o.os2oi o h2e e,tisgcadhuCtsua siyttnuaivmrns 0pweiit ursnea aosof ltnl ea Fw
su i,iCtt ipotmeisnrf sistgsrtyisp sieweiih eryfoccssdmgecitihCagihc”iim tetrirp rogsesl r chee cooniua lrnn. scetneniedysanpeita ,il aavldm iea sto d irrtyranieny seaultictmc tn a,dtarreuc intatcFtlahaayl lnHo“ fw ne nnaoarhban airmh ai dlpscap,t
t tit oneey stsbi oineufdcfiTf dr oitntstsd earunau u r tccdiduiiortemtenliswhceeefv ttuoaalmei so hmoh.ah tcf cyhsnlF bCpnlar ,owtaa HslAasmerehndahhao ei'een peeeoytsoursralkotd yame
er rb&aeaLhenotylioe HintKatiea l,e Diyltiirite,iFfapiani n. elonsmdanemhpa nvlkni i ndw neeDdeinsoyay c.DaIrenrvosean daelLt c ga eFlFm fc Loaw his;r eswialrva
eJst deuanih gc eaissaIelFoifidatenctnfreeire p,tvea gs i Dnrwes ates iatm.esestah uu tgoritenrss htt h m th
plnhhir oeaaiapdtaabic no a apanerclseomn v csor ren”ia. sachieteae”slaeytnfcFet scaffsimse ,iaaorl,ciTrtie t ltvl Ietld o.thereeclte,ehiuneknn edoi ecsee ttrsptt agsbrneeersmeyotlvh pi“ hit fxIocsr“ l seAshafoesstdeetas n’i padmo pa
;snp&b
Please enable JavaScript to view this content.
Someone help me understand. Is the Stark law saying that if my Community doctor refers me to Community Hospital or Surgery Center that their not allowed to bill Medicare for those services because he or she has a financial relationship with them? Is it saying referring them is not the problem, but rather that their being compensated for those referrals? I would expect them to refer other Community services and doctors weather they are being directly paid or not for doing so. It would seem unnecessary to have to pay extra for something that would probably happen anyway (Intracompany referrals). I have been a Community customer for many years and I expect every referral, test or surgery to be kept within the Community Health Network whenever possible. I understand that the ultimate goal would be to empower patients to be better consumers of healthcare services, but with Medicare what choices do you have except what they give you?
No. What the Stark Law apparently makes illegal is paying physicians excessively (i.e. well above market pay) in return for the physicians’ referrals to the health system.
.
This is what the ex-CFO and Justice Department are alleging.
It’s also alleging some services were referred to the hospital (higher charges, higher costs, higher reimbursement) that could have been done at outpatient physician practices (lower charges, lower costs, lower reimbursement).
The patient care coordinator where I used to work verbally told us to stop referring patients an orthopedic group outside of Community because they were in a dispute with that group. They threw away flyers with the address & phone number to that outside group. If a patient wanted to be seen by a specialist who was a non Community provider that was their right. I think that was unethical.
It is not wrong to refer patients within a network, but the patient should always have a choice in who they are referred to. Providers should not be getting bonuses or kickbacks for those referrals.
Who were the doctors involved and what if any action has been taken concerning them?
That’s what I would like to know.