Quote:
Originally posted by Replaced_Texan
Really? There's a $300 limit per year under Stark for de-minimus gifts at 42 C.F.R. section 411.357 (k), but I'll be damned if I can find a de-minimus exception in the anti-kickback law.
As for whether or not I read health care economic literature, it's up to you. It's not clear by your posts whether you read public health literature, so I guess we're even.
I've been watching medical savings accounts since they were introduced (in a very limited way) in HIPAA. I know a few people who've taken advantage of them, and they get mixed reviews. One couple I know ended up swapping out the MSA for a high-deductible insurance policy through a professional organization. The problem was that ultimately, the consumer ended up paying astronomically high premiums for individual insurance, probably because the insurance pool was so small. I agree that they're promising, but the law needs to be expanded beyond self-employed individuals to see how well they will end up working.
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Not Me may be confused and be thinking that physicians are employees of hospitals (or, who knows, maybe they are where s/he lives?) and it falls under the rules about providing meals when someone is required to be on-site etc. This may be true for interns and residents. I am totally unfamilar with Stark and how it might apply to employees.
It seems to me that physicians (who have completed their formal training programs) are generally not employees of hospitals except maybe as administrators, but my perception may be based on geographic locale/experience. I am pretty sure this is the case in TX and CA.
