of business; the exact services to be performed must be outlined; and be commercially reasonable. Because current processes for monitoring contract compliance and logging physician work hours are often done on paper, the majority of Stark Law violation settlements are the result of technical violations. Healthcare experts agree that information technology is necessary to streamline hospital processes, including those relating to compliance and Stark Law. Certain electronic health record companies help healthcare systems collect, organize, and store data. Multiple technology solutions exist that specifically automate physician time logging and eliminates Stark Law violation risk. Reform proposal The Stark law may impede certain pay for performance value-based arrangements, which led to discussions around reform as of 2019. References External links Omnibus Budget Reconciliation Act of 1989 (P.L. 101-239) Omnibus Budget Reconciliation Act of 1993 (P.L. 103-66) Social Security Act Amendments of 1994 (P.L. 103-432) Why it takes 60 minutes or less to find a stark law violation United States federal health legislation Medicare and Medicaid (United States) Medicare fraud