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AO 07-18
Updated November 2, 2015Regarding an existing arrangement by a nonprofit, tax-exempt, charitable organization to subsidize cost sharing, and its proposal to subsidize premium obligations, associated with outpatient drug treatment owed by financially needy Medicare or Medicaid patients with certain chronic diseases.
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AO 15-13
Posted October 21, 2015Regarding a plan to offer free van shuttle service to certain medical facilities in an integrated health system.
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AO 15-12
Posted August 13, 2015Regarding a home health provider's policy to offer free introductory visits to patients who have chosen it as their home health provider.
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AO 15-11
Posted August 12, 2015Regarding a program to provide a drug for free for a limited time to patients who experience a delay in the insurance approval process.
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AO 15-10
Posted July 28, 2015Regarding a hospital system's proposal to lease non-clinician employees and to provide operational and management services to a related psychiatric hospital for an amount equal to the hospital system's fully loaded costs.
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AO 15-09
Posted July 23, 2015Regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies.
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AO 15-08
Posted June 19, 2015Regarding 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.
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AO 15-06
Posted June 4, 2015Regarding 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.
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AO 15-07
Posted June 4, 2015Regarding subsidies a medical device manufacturer provides to certain patients participating in a clinical research study.
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AO 15-05
Posted April 29, 2015Regarding the use of a “preferred hospital” network as part of Medicare Supplemental Health Insurance (“Medigap”) policies.
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AO 15-04
Posted March 25, 2015Regarding 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.
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AO 15-03
Posted March 2, 2015Regarding the proposed use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies.
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AO 15-02
Posted February 13, 2015Regarding the effect of exclusion from Medicare, Medicaid, and all other Federal health care programs.
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AO 15-01
Posted February 2, 2015Regarding 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.
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AO 14-11
Posted January 5, 2015Concerning 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.
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AO 14-10
Posted October 21, 2014Concerning the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies.
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AO 14-09
Posted October 14, 2014Concerning 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.
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AO 14-08
Posted September 24, 2014Concerning the proposed use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies.
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AO 14-07
Posted August 25, 2014Concerning the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies.
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AO 14-06
Posted August 15, 2014Concerning 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.