Stark reality. How Stark I and II will impact physician relationships

Area of Science:

• Healthcare Law
• Medical Ethics
• Health Policy

Background:

• The Ethics in Patient Referrals Act (Stark I) aimed to curb physician self-referral.
• Amendments to the Stark Act (Stark II) were enacted through the Omnibus Budget Reconciliation Act of 1993.
• Stark II provisions largely took effect on January 1, 1995.

Purpose of the Study:

• To announce the publication of the final rule for the Ethics in Patient Referrals Act (Stark I).
• To inform about the Health Care Financing Administration's (HCFA) intention to survey healthcare providers.
• To assess compliance with the Stark II amendments.

Main Methods:

• Publication of a final rule by HCFA.
• Planned surveys of hospitals and physicians by HCFA.
• Evaluation of compliance with Stark II legislation.

Main Results:

• The final rule for Stark I was published on August 14, 1995.
• HCFA will conduct surveys to gather compliance data.
• Information gathered will inform the evaluation of Stark II compliance.

Conclusions:

• The implementation of Stark I regulations is underway.
• Provider compliance with Stark II is a key focus for HCFA.
• Ongoing monitoring and evaluation are essential for healthcare law adherence.