OIG Releases Special Fraud Alert About Suspect Payments in Marketing Arrangements Related to Medicare Advantage and Providers

On Dec. 11, 2024, the U.S. Department of Health and Human Services Office of Inspector General (“OIG”) issued a Special Fraud Alert (the “Alert”) related to certain fraud and abuse risks associated with marketing arrangements between Medicare Advantage Organizations (“MAOs”) and health care professionals (“HCPs”), as well as arrangements between HCPs and agents and brokers for Medicare Advantage (“MA”) plans. The Alert addresses marketing practices that could violate federal anti-kickback statutes and other healthcare fraud regulations.