Skip to main content

Department of Health and Human Services, Centers for Medicare and Medicaid Services: Medicare Program; Modernizing and Clarifying the Physician Self-Referral Regulations

Skip to Highlights

Highlights

GAO reviewed the Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS)'s new rule entitled "Medicare Program; Modernizing and Clarifying the Physician Self-Referral Regulations." GAO found that the final rule: (1) addresses any undue regulatory impact and burden of the physician self-referral law; (2) establishes exceptions to the physician self-referral law for certain value-based compensation arrangements between or among physicians, providers, and suppliers; (3) establishes a new exception for certain arrangements under which a physician receives limited remuneration for items or services actually provided by the physician; (4) establishes a new exception for donations of cybersecurity technology and related services; (5) amends the existing exception for electronic health records (EHR) items and services; and (6) provides critically necessary guidance for physicians and health care providers and suppliers whose financial relationships are governed by the physician self-referral statute and regulations.

View Decision

Downloads

GAO Contacts

Shirley A. Jones
Managing Associate General Counsel
Office of the General Counsel

Media Inquiries

Sarah Kaczmarek
Managing Director
Office of Public Affairs

Public Inquiries