Browse Advisory Opinions

Regarding the proposed use of a "preferred hospital" network in connection with a Medigap plan, whereby an insurer would indirectly contract with hospitals for discounts on the otherwise applicable Medicare inpatient deductibles for its policyholders and, in turn, would provide a renewal premium credit of $100 to policyholders who use a network hospital for an inpatient stay.

Regarding a nonprofit, tax-exempt, charitable organization's proposal to provide financial assistance to individuals with chronic diseases, including cancer, to assist with the costs of health insurance and drug and device therapies.

Regarding subsidies a medical device manufacturer provides to certain patients participating in a clinical research study.

Regarding the use of a “preferred hospital” network as part of Medicare Supplemental Health Insurance (“Medigap”) policies.

Regarding a laboratory's proposal to enter into agreements with physician practices to provide all laboratory services for the practices' patients and waive all fees for those practices' patients who are enrollees of certain insurance plans that require the patients to use a different laboratory.

Regarding the proposed use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies.

Regarding the effect of exclusion from Medicare, Medicaid, and all other Federal health care programs.

Regarding an entity's practice of advertising and providing free diapers and play yards in connection with the services it provides under a state's home visiting program for at-risk mothers and infants.

Concerning a nonprofit, tax-exempt, charitable organization's proposal to provide assistance with copayment obligations to financially needy patients, including Medicare and Medicaid beneficiaries, diagnosed with Crohn's disease or ulcerative colitis.

Concerning the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies.

Concerning an existing arrangement under which a township uses tax revenues to cover out-of-pocket amounts owed for basic life support emergency ambulance services received by local residents.

Concerning the proposed use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies.

Concerning the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies.

Concerning a specialty pharmacy's proposal to pay local retail pharmacies a fee for support services they provide in connection with patient referrals to the specialty pharmacy.

Concerning a pharmaceutical manufacturer's direct-to-patient product sales program that allows eligible patients to purchase one of the manufacturer's brand-name products for a fixed cash price from an online retail pharmacy vendor outside of any applicable prescription drug insurance benefit.

Concerning the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies.

Concerning an online service that would facilitate the exchange of information between health care practitioners, providers, and suppliers.

Concerning a laboratory's arrangement with an electronic health record services vendor under which the laboratory pays a per-order fee for each test order the vendor transmits to the laboratory.

Concerning the use of "preferred hospital" networks as part of certain Medicare Supplemental Health Insurance ("Medigap") policies.

Concerning contracts under which a placement agency is compensated for referring new residents to senior communities where they may eventually receive services paid for by Federal health care programs.