Special Fraud Alert: Suspect Payments in Marketing Arrangements Related to Medicare Advantage and Providers

On Dec. 11, 2024, the OIG issued a Special Fraud Alert (Alert) related to certain fraud and abuse risks associated with marketing arrangements between Medicare Advantage Organizations (MAOs) and health care professionals (HCPs), as well as arrangements between HCPs and agents and brokers for Medicare Advantage (MA) plans. This Alert follows recent U.S. Department of Justice scrutiny of HCP marketing arrangements with agents, brokers and others, and MAO marketing arrangements with HCPs. As a...
By: Stevens & Lee

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