About

Danielle Vrabie is a partner in the Business Trial Practice Group in the firm’s New York office and a member of the firm’s healthcare practice…

Danielle Vrabie is a partner in the Business Trial Practice Group in the firm’s New York office and a member of the firm’s healthcare practice team.

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Most Medicare Advantage (“MA”) beneficiaries rely on agents and brokers to help them navigate the complex process of selecting a health plan that will meet their needs. In exchange, brokers and agents received certain fixed payments set by Medicare, as well as, in some cases, significant additional payments from health plans. Concerned over the potential for abuse, these arrangements have been the subject of Congressional scrutiny and an enforcement priority for both the Department of Justice (“DOJ”) and the Department of Health and Human Services Office of the Inspector General (“HHS OIG”). The Biden Administration and the Centers for Medicare & Medicaid Services (“CMS”) are tackling this issue head-on in a recently published final rule that addresses both marketing tactics and compensation methodologies used by Medicare Advantage organizations (“MAOs”) to pay MA agents or brokers.[1]

Continue Reading Increased Scrutiny into Agents & Brokers in the Medicare Advantage Space

About

Danielle Vrabie is a partner in the Business Trial Practice Group in the firm’s New York office and a member of the firm’s healthcare practice…

Danielle Vrabie is a partner in the Business Trial Practice Group in the firm’s New York office and a member of the firm’s healthcare practice team.

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