Health Plans / Health Plan Incentives Safe Harbor

Article Overview

This article explains a health plan-related safe harbor under the Anti-Kickback Statute and describes the general standards that apply to certain Medicare and Medicaid contracting arrangements. It is relevant to compliance, reimbursement, and managed care audiences that need to understand how plan incentive offerings fit within federal fraud-and-abuse protections. The article also summarizes the broad categories of plan arrangements addressed by the safe harbor and includes a brief illustrative example.