Browse Advisory Opinions

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.

Concerning patient assistance programs that provide funding for premium assistance and certain other medical expenses to [disease redacted] patients in financial need.

Concerning an ambulance supplier's response to a request for proposals for the provision of all emergency ambulance services.

Concerning a proposal to use tax revenues to cover out-of-pocket amounts owed for county-operated emergency ambulance services received by non-residents.

Concerning a health insurer's proposal to pay the Medicare Part B premium costs for Medicare-eligible individuals with End-Stage Renal Disease who are enrolled in a group health plan offered by the insurer and receiving dialysis services.

Concerning an anesthesia services provider's proposal to contract with a psychiatry practice group to provide anesthesia services in connection with electroconvulsive therapy procedures at a hospital.

Concerning a proposal whereby a county would not bill bona fide county residents otherwise applicable cost-sharing amounts due in connection with emergency ambulance services provided by the local fire department and a volunteer rescue company, but would instead use tax revenues to cover the unpaid cost-sharing amounts.

Concerning a non-profit community health services organization's proposal to begin billing Medicaid for dental services provided to its patients, while continuing to provide free dental services to uninsured and underinsured financially needy children.

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

Concerning two proposed arrangements involving the provision of emergency medical services for a township.

Concerning a proposal to contract with hospitals to provide services to patients with certain diagnoses following hospital discharge with the goal of reducing preventable hospital readmissions.

Concerning a proposal to offer members of a group purchasing organization ("GPO") an equity interest in the GPO's parent organization in exchange for the member: (1) extending its contract with the GPO for five to seven years; (2) committing not to decrease purchasing volume; and (3) relinquishing its right to a portion of the administrative fees that would otherwise have been passed through to the members.

Concerning a fire protection district's policy of billing only individuals who reside outside the fire protection district for emergency medical services.

Concerning a tiered rebate program in which the rebate tiers would be reached based on the combination of purchases of both Federally reimbursable products and non-Federally reimbursable products.

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