Risky Marketing Schemes

[somarco]

HHS' Office of Inspector General has issued a special fraud alert about the risks of fraud and abuse in certain marketing and compensation arrangements related to Medicare Advantage.

These arrangements may violate federal anti-kickback statutes by incentivizing the steering of Medicare enrollees toward plans or providers based on payments rather than suitability. OIG is concerned about unfair competition and potential harm to beneficiaries, and MA plans should evaluate their existing partnerships and payment structures for compliance to reduce legal and reputational risks.

https://www.beckerspayer.com/payer/oig-warns-of-risky-medicare-advantage-marketing-schemes.html

 

[Duaine]

Oh Gosh, is that because the "greedy" insurance agents are all buying yachts and Teselas which grandma is eating cat food?

 

[annon123]

Thanks for posting that/ I wish the article had gone into more detail about what they felt was wrong with how agents are paid and how that needed to be changed. Or at least what the guidelines are for not being in violation.

 

[MedicareWAA]

Why do you think this is about United?

 

[annon123]

Why do you think this is about United?

I don't see anyone who posted stated or implied they thought this was about united

 

[Fisher]

I don't see anyone who posted stated or implied they thought this was about united

Read the title of the post.

 

[somarco]

@annon123

OIG Issues Special Fraud Alert on Medicare Advantage Marketing Arrangements

On December 11, the U.S. Department of Health and Human Services Office of Inspector General (OIG) issued a Special Fraud Alert (SFA) on what it refers to as “suspect” marketing schemes involving “questionable payments and referrals” between Medicare Advantage (MA) plans, healthcare...

www.bassberry.com

 

[annon123]

Read the title of the post.

The title of the post is Risky Marketing Schemes. Where in that does it say UHC? The article posted isn't about UHC.

 

[annon123]

@annon123

OIG Issues Special Fraud Alert on Medicare Advantage Marketing Arrangements

On December 11, the U.S. Department of Health and Human Services Office of Inspector General (OIG) issued a Special Fraud Alert (SFA) on what it refers to as “suspect” marketing schemes involving “questionable payments and referrals” between Medicare Advantage (MA) plans, healthcare...

www.bassberry.com

Thanks for that.

 

[Chazm]

The title did say UHC. It's been changed.