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AHA opposes legislation allowing physician self-referrals, POH expansion
The AHA March 27 voiced opposition to the Physician Led and Rural Access to Quality Care Act (H.R. 2191), a bill that would lift the ban on the establishment of physician-owned hospitals in certain rural areas and permit the unfettered expansion of POHs nationwide, regardless of location.
Theories Don’t Replace Facts: Physician-owned Hospitals Cherry-pick Patients, Lead to Lower Quality and Less Access
For more than a decade, the Ethics in Patient Referrals Act, more commonly known as the “Stark Law,” has protected the Medicare program from unfettered growth in physician-owned facilities and further expanding their practices of selecting the healthiest and most profitable patients, driving up utilization, and deferring emergency services to publicly funded 911 services or general acute care hospitals when their patients need emergency care.
Advocacy Issue: Physician-Owned Hospitals
Some members of Congress continue to propose weakening Medicare’s prohibition on physician self-referral to new physician-owned hospitals and loosening restrictions on the growth of grandfathered hospitals. Legislation has been introduced that would allow problematic physician-owned hospitals to open and permit unfettered growth in existing physician-owned hospitals.
Fact Sheet: Physician Self-referral to Physician-owned Hospitals
Some members of Congress continue to propose weakening Medicare’s prohibition on physician self-referral to new physician-owned hospitals and loosening restrictions on the growth of grandfathered hospitals. The Patient Access to Higher Quality Health Care Act of 2023 (H.R. 977/S.470), would allow problematic physician-owned hospitals to open and permit unfettered growth in existing physician-owned hospitals.
New Analysis Reaffirms Need to Maintain Current Law Banning Self-Referral to Physician-Owned Hospitals
Data from the health care consulting firm Dobson | Davanzo, released today by the Federation of American Hospitals (FAH) and the American Hospital Association (AHA), shows that physician-owned hospitals (POHs), when compared to other hospitals, treat less medically complex and more financially lucrative patients, provide fewer emergency services, and treat fewer COVID-19 cases.
Physician-owned hospitals are bad for patients and communities
For decades, the Ethics in Patient Referrals Act (“Stark Law”) has protected the Medicare program, its beneficiaries and communities from the inherent conflict of interest created when physicians self-refer their patients to facilities and services they own.
New Study Validates the Risks of Expanding Physician-owned Hospitals
A new study funded by Patient Rights Advocate adds to the evidence that physician-owned hospitals (POHs) are not comparable to or substitutes for full-service acute care hospitals.
New Analysis Validates Need to Preserve Restrictions on the Growth of Physician-owned Hospitals
As some members of Congress continue to propose weakening Medicare’s prohibition on physician self-referral to new physician-owned hospitals (POHs) and loosening restrictions on the growth of existing POHs, new data from Dobson | DaVanzo show that POHs report fewer quality measures and perform worse on readmission penalties compared to full-service community hospitals.
Keeping the Brakes on Physician-owned Hospitals is Best for Patients
Fair competition has always been the driving principle of our nation’s economy. This includes health care, and it’s the reason the Ethics in Patient Referrals Act, more commonly known as the “Stark Law,” has been on the books for decades to protect the Medicare program from the inherent conflict of interest created when physicians self-refer their patients to facilities and services in which they have a financial stake.