decisionhealth Newsletters, Answer Books - 2009 Issue 3 (March)
Anti-Kickback Advisory Opinion Summaries / 2002 OIG Advisory Opinions / Opinion 02-12 - Behavior Modification Company Allowed to Reward Good Behavior
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Article Overview
This article summarizes an OIG advisory opinion about a behavior modification company’s internet-based rewards program for patients and participating physicians, along with related website advertising arrangements. It is relevant for compliance, managed care, physician practices, and fraud-and-abuse review because it describes the general safeguards and oversight concerns discussed by the agency.
Why This Topic Matters
It helps compliance and healthcare business readers understand how the OIG viewed a rewards-based patient engagement program and associated online advertising in the context of anti-kickback risk.
What You Will Learn
- The general structure of a web-based rewards and behavior modification program.
- The types of fraud-and-abuse concerns raised by patient and physician incentives.
- The broad categories of safeguards that were discussed in relation to the arrangement.
- How website advertising and sponsor content can create compliance considerations in a healthcare context.
Who Should Read This
- Healthcare compliance professionals
- Physician practice managers
- Managed care organizations
- Healthcare attorneys
- Fraud and abuse analysts
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