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5 frequently asked questions about signing up for Medicare

5 frequently asked questions about signing up for Medicare
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Medicare Advantage Plan , Medigap Plan , Social Security , Medicare Advantage , Medicare Supplement , மேடிககப் திட்டம் , சமூக பாதுகாப்பு , மருத்துவ துணை ,

OIG Issues Additional Favorable Advisory Opinion Regarding Medigap Plan and Preferred Hospital Organization Arrangement | King & Spalding

OIG Issues Additional Favorable Advisory Opinion Regarding Medigap Plan and Preferred Hospital Organization Arrangement | King & Spalding
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Hospital Organization , Advisory Opinion , Medigap Plan , Preferred Hospital Organization , Medicare Part , Federal Anti Kickback Statute , Beneficiary Inducements Civil Monetary Penalty , மருத்துவமனை ஆர்கநைஸேஶந் , மேடிககப் திட்டம் , மருத்துவ பகுதி ,

OIG Issues Favorable Advisory Opinions Regarding Medigap Plan and Preferred Hospital Organization Arrangements | King & Spalding


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Last week, OIG posted Advisory Opinions Nos. 21-03, 21-04, and 21-05 relating to three near-identical arrangements between Medigap plans and Preferred Hospital Organizations (PHOs). The arrangements involve (i) a discount on a policyholder’s Medicare Part A deductible, (ii) a policyholder premium credit, and (iii) a monthly administrative fee to the PHOs. The arrangements are designed to incentivize the Medigap plans’ respective policyholders to seek inpatient care from a hospital within the applicable PHO network. Although OIG determined that the arrangements would generate prohibited remuneration under the federal Anti-Kickback Statute and the Beneficiary Inducements Civil Monetary Penalties (CMP) law, OIG concluded that the arrangements pose a sufficiently low risk of fraud and abuse and that OIG would not impose administrative sanctions under those laws in connection with the proposed arrangements. ....

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