decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Anti-Kickback Advisory Opinion Summaries / 2007 OIG Advisory Opinions / Opinion 07-06 - Another Charity Gets Permission to Help with Cost-Sharing
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Article Overview
This premium article covers a 2007 HHS OIG advisory opinion involving a nonprofit charity that provides patient financial assistance for medication-related expenses and insurance obligations. It explains the general structure of the charitable program, the parties involved, and the compliance concerns addressed by OIG, including donor relationships, recipient selection, and safeguards intended to preserve the charity’s independence. The article is relevant to healthcare compliance professionals, revenue cycle staff, and organizations that work with patient assistance foundations or donated support programs.
Why This Topic Matters
Patient assistance and charitable support arrangements can raise anti-kickback and fraud-and-abuse concerns. This article helps readers understand how OIG analyzed a specific charitable funding model and what broad safeguards were important to the opinion.
What You Will Learn
- How OIG evaluated a charity-based patient assistance arrangement.
- What general safeguards were relevant to the advisory opinion.
- Why donor independence and recipient selection processes matter in this context.
- How the article frames patient cost-sharing and premium assistance issues.
Who Should Read This
- Healthcare compliance professionals
- Revenue cycle professionals
- Patient assistance program administrators
- Healthcare attorneys
- Pharmacy and specialty care organizations
- Charitable foundation administrators
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