Ben Wallfisch, senior counsel for the Office of Counsel to the Inspector General (OIG), will deliver a critical presentation on Medicare marketing compliance at the upcoming Medicare Marketing & Sales Summit in San Juan, Puerto Rico.
Wallfisch's session, titled 'Guidance from the OIG: Medicare Advantage Marketing and Compliance', will address recent regulatory concerns about potentially misleading marketing practices in Medicare Advantage plans. His presentation comes on the heels of a recent OIG special fraud alert that warns about increasing risks of improper marketing schemes.
The OIG has observed a rise in abusive marketing practices that could potentially mislead Medicare enrollees into selecting health plans or healthcare providers that may not align with their actual needs. The fraud alert specifically focuses on two key areas of potential misconduct: payments from Medicare Advantage organizations to healthcare professionals for marketing and enrollment, and payments from healthcare professionals to agents and brokers for patient referrals.
As a senior counsel, Wallfisch plays a crucial role in drafting advisory opinions, regulations, and guidance documents. He also advises the Department of Justice on False Claims Act cases and helps resolve provider self-disclosures, making his insights particularly valuable for healthcare industry professionals.
The Medicare Marketing & Sales Summit provides a critical platform for healthcare leaders to understand emerging compliance challenges and regulatory expectations. Wallfisch's presentation represents an important opportunity for industry stakeholders to gain direct insights from a key regulatory expert about maintaining ethical marketing practices and avoiding potential legal pitfalls.
