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Legal restrictions hinder hospital-physician gainsharing

After the HHS Office of Inspector General (OIG) is-sued a series of advisory opinions granting limited approval to hospital-physician gainsharing arrangements in 2005, many industry experts predicted renewed interest in these projects, which were halted in 1999 after the OIG declar-ed that gainsharing violated the Civil Monetary Penalties (CMP) statute. But renewed interest hasn't been enough to jumpstart a widespread gainsharing trend. Hospitals enter into gainsharing agreements with physician groups to reward physicians for saving measurable costs while maintaining quality. For example, physicians may work together to standardize materials or wait to open disposable supplies until needed.