Bass, Berry & Sims attorneys Anna Grizzle, Amy Sanders Morgan and Brian Roark co-authored an article with Vanderbilt University Medical Center’s Adrienne Kepner about the unique fraud and abuse risks that the shift from fee-to-service to value-based care poses for healthcare providers. As the authors point out, “[a]s the pre-defined metrics have more impact on a provider’s reimbursement and reputation, one of the biggest challenges is driving meaningful change in patient care within each program’s metrics while also creating a supportive work environment.” The article also highlights potential steps to protect against those risks, such as close collaboration among various stakeholders.
The full article, “New Wine in Old Wineskins: Mitigating Fraud and Abuse Risks in Value-Based Reimbursement,” was published in the February 2017 issue of Connections, the monthly magazine published by the American Health Lawyers Association (AHLA).