For this article, I've broken gainsharing
down to three primary areas of production: platemaking, pressroom and distribution.
Though the statute is intent-based, and thus requires the government to prove that a payment was made with knowledge to induce referrals, providers would still seek to minimize liability by fitting the gainsharing
payments into an existing safe harbor or by requesting an advisory opinion from the OIG.
In 1999, in an effort to begin the process of improving hospital/physician dialogue and collaboration, the New Jersey Hospital Association (NJHA) approached the federal Healthcare Financing Administration (HCFA) with a proposal to start a gainsharing
The private payers involved in the gainsharing
project--Arkansas Blue Cross Blue Shield and Arkansas QualChoice--will start their data col-lection in January 2013.
The New Jersey Hospital Association initially proposed a gainsharing
demonstration project in 2004, but at that time, CMS did not have the statutory authority to waive gainsharing
who succeed with measurable clinical quality and efficiency [cost containment] improvements." (1) Of course the threshold that physicians must meet to be eligible for gainsharing
bonuses can easily be manipulated and adjusted by a hospital-dominated PHO so as to favor the hospital, while simultaneously limiting the number of physicians who qualify for a gainsharing
Unionized companies often start a gainsharing
plan in the middle of a multi-year union contract.
As a result, this whole new practice of Gainsharing
began to replace profit sharing.
There would be the possibility for gainsharing
among hospitals and physicians.
Leahey said the association would continue to lobby for GPO reform, in addition to its advocacy efforts to limit the negative effects of device contract gainsharing
programs currently being explored by the Centers for Medicare & Medicaid Services (CMS).
McCarty Thornton, said during an audioconference on gainsharing
sponsored by the Integrated Healthcare Association.
Workers do not receive piece-related bonuses, but all are included in a gainsharing
program, and all are eligible for company-paid training and education.