HealthLaw HotSpot: Concierge Medicine: New Regulations and Payor Changes Impacting Hybrid Practices

Host Ericka Adler and Roetzel healthcare shareholder Christina Kuta
break down the latest legal developments affecting hybrid concierge
medical practices—those that accept insurance or Medicare while
also charging patients a membership or access fee. Topics covered
include new Medicare billing codes that could impact how and if
practices can charge patients for certain services, why charging
cash for certain services might now violate Medicare rules, how
commercial insurers are cracking down on access fees and concierge
perks, real-world examples of practices losing contracts over fee
structures, and tips for staying compliant and protecting your
practice. Whether you're running a hybrid concierge model or
thinking about launching one, this episode is packed with practical
legal insights to help you avoid costly missteps. Find all of our
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