Navigating the intricate regulatory framework surrounding ASC ownership, particularly for multispecialty centers, demands strict adherence to laws like the Anti-Kickback Statute and Stark Law. Compliance hinges on structuring ownership agreements at fair market value, meeting safe harbor standards, and ensuring profit distributions align with ownership rather than referrals. Missteps, such as overpaying for controlling interest or underpricing non-controlling stakes, can lead to severe penalties. Yet, with the right safeguards in place, ASCs can thrive within these constraints. The question remains: as regulations evolve, will ASCs continue to adapt while maintaining their profitability and compliance?
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