decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Anti-Kickback Advisory Opinion Summaries / 2004 OIG Advisory Opinions / Opinion 04-15 - Charity May Cover Needy Patients' Out-of-Pocket Prescription Expenses
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Article Overview
This advisory-opinion summary explains how the OIG evaluated a charity-funded prescription assistance program for patients with serious chronic or life-threatening conditions. It is relevant to compliance, pharmacy, healthcare legal, and revenue integrity audiences because it highlights the general anti-kickback concerns tied to donor influence, patient choice, and independence of the charitable organization, along with the safeguards discussed by the agency.
Why This Topic Matters
The article helps readers understand how OIG approaches charitable assistance programs that interact with pharmaceutical funding sources and patient medication decisions. It is useful for compliance teams and counsel assessing whether a charity structure raises anti-kickback risk and how the agency framed its concerns in this advisory opinion summary.
What You Will Learn
- The general OIG concerns surrounding charity-funded prescription assistance programs
- The types of safeguards discussed in connection with donor independence and patient choice
- Why relationships between charities and drug manufacturers receive heightened scrutiny
- How advisory opinion summaries can inform compliance review of patient assistance arrangements
Who Should Read This
- Healthcare compliance professionals
- Health law attorneys
- Revenue integrity teams
- Pharmacy benefit and patient assistance program administrators
- Pharmaceutical compliance staff
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