Policy Details

Medicare and State Health Care Programs: Fraud and Abuse; Revisions to Safe Harbors and Civil Monetary Penalty Rules

Summary

Revises Anti‑Kickback Statute safe harbors and Civil Monetary Penalty rules to protect certain value‑based arrangements, patient engagement tools, and care coordination supports.

Healthcare Implications

Establishes compliance pathways that can encompass digital health and some AI‑enabled services when structured within protected arrangements, reducing fraud‑and‑abuse risk.

Impact Level

Medium

Keywords

Clinical Quality & Efficacy

Stakeholders

Providers & Health Systems; Regulators & Government