Demand vs. Supply Executive Summary

Stark III: Revisions and Implications

Originally passed in 1992, “STARK” prohibits physicians from referring Medicare/Medicaid patients to clinical labs in which physician (or a family member) has a financial interest. STARK has since undergone a number of revisions and expansions. These regulations affect MOBs because real estate transactions (leases and/or ownership interests—debt or equity) constitute a financial interest.