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The SIS model incorporates some of the safeguards that the OIG found noteworthy in its advisory opinions-such as, the transparency of the transactions and ease of identifying specific cost savings, the use of credible clinical support in recommending preferred devices, not restricting physician choice of devices, and the distribution of proceeds strictly on a per capita basis. Further, for hospitals and manufacturers the SIS model presents a very attractive alternative to gainsharing arrangements because it does not require significant deviation from the mechanics of hospitals' current purchasing practices, longer term agreements, market share for the participating manufacturer and compliance without any cost to the participating hospital.

 
 
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