OIG Allows Medigap Policy to Provide Premium Credits for Patients Using Network Hospitals

In Advisory Opinion 14-02, released on February 20, 2014, the Office of Inspector General (OIG) advised that it would not impose sanctions pursuant to the anti-kickback statute and civil monetary penalty law for the arrangement between a licensed offeror of Medigap policies and preferred provider organizations (PPOs) that contract with network hospitals.  As part of the arrangement, the network hospitals would provide up to a 100 percent discount on Medicare Part A inpatient deductibles that would otherwise be paid by… Read More >