Stark Regulation: A Historical and Current Review of the Self-Referral Laws

  title={Stark Regulation: A Historical and Current Review of the Self-Referral Laws},
  author={Morey Kolber},
  journal={HEC Forum},
  • M. Kolber
  • Published 1 March 2006
  • Business, Medicine
  • HEC Forum

The Stark law, from inception to COVID-19 blanket waivers: a review

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Strong evidence suggests self-referral leads to increased usage of health care services; but there is insufficient evidence to determine whether this increased usage reflects doctors meeting an unmet need or ordering clinically inappropriate care.

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Team Relationships and Performance: Evidence from Healthcare Referral Networks

It is suggested that repeated PCP-specialist interactions improve team performance and this finding holds under various identification strategies that account for observed and unobserved patient and physician characteristics.

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Focused factory Pohs providing cardiac or orthopedic care were found to provide higher-quality care at lower or comparable cost, whereas evidence regarding general acute care POHs is neutral.

Negotiating a Contract

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Team Formation and Performance: Evidence from Healthcare Referral Networks

Patients of PCPs with concentrated referrals have lower healthcare costs, with no discernable reduction in quality, and the theoretical model finds that team-specific capital is greater when PCPs concentrate their referrals within a smaller set of specialists.

Fostering better policy adoption and inter-disciplinary communication in healthcare: A qualitative analysis of practicing physicians’ common interests

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How neurologists are paid: Part 2: Private practice, research grants, academic and nonclinical activities.

This work reviews compensation models for nonpatient activity such as medical legal reviews, committee participation, and collaboration with the pharmaceutical industry in academic medicine over the past 3 decades.

A New Institutional Economics Perspective on the Relationship Among Societal Values, Governance Structure and Access to Rural Health Care Services

New Institutional Economics, transactional activities, governance structures, institutions and beliefs and values are related hierarchally and beliefs that health care is a right may not align with efforts to introduce market-based governing structures in rural health care services can result in excessive transaction costs.



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New evidence of the prevalence and scope of physician joint ventures.

The results indicate that physician ownership of health care businesses providing diagnostic testing or other ancillary services is common in Florida and the proportion of referring physicians involved in direct patient care who participate in joint ventures is much higher than previous estimates suggest.

A review of the new Stark Phase II regulations.

The Ethics in Patient Referrals Act of 1989: an analysis of the bill and the issue.

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    HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues
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