On December 11, 2024, the U.S. Department of Health & Human Services’ Office of Inspector General (OIG), issued a Special Fraud Alert (Alert) focusing on financial arrangements involving Medicare Advantage (MA) Organizations...more
5/23/2025
/ Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Department of Health and Human Services (HHS) ,
Fraud ,
Government Agencies ,
Health Care Providers ,
Insurance Industry ,
Medicare ,
Medicare Advantage ,
OIG ,
Regulatory Reform
In its November 2023 Proposed Rule and in its recently issued Final Rule that will be published in the Federal Register later this month, the Centers for Medicare & Medicaid Services (CMS) addressed concerns related to agent...more
4/23/2024
/ Brokers ,
Centers for Medicare & Medicaid Services (CMS) ,
Compensation ,
Contract Renewal ,
Enrollment ,
Fraud and Abuse ,
Health Insurance ,
Medicare Advantage ,
Medicare Part D ,
OIG ,
Proposed Rules ,
Public Health Insurance Marketplace ,
Risk Management
Just in time for the New Year, the Office of Inspector General (OIG) of the U.S. Department of Health and Human Services issued final regulations (Final Regulations) that revised two existing Anti-Kickback Statute safe...more
1/19/2017
/ Advertising ,
Ambulance Providers ,
Anti-Kickback Statute ,
Cost-Sharing ,
Department of Health and Human Services (HHS) ,
Discounts ,
FQHC ,
Free Health-Related Services ,
Health Care Providers ,
Medicare Advantage ,
Medicare Coverage Gap Discount Program ,
OIG ,
Pharmacies ,
Safe Harbors ,
Waivers