Lexology March 10, 2022
Sidley Austin LLP

Digital Health Compliance Considerations — Revenue Models and Patient Incentives

The digital health market continues to grow exponentially in the United States. As startups and established companies market digital tools and technology to improve health outcomes and reduce costs, a key issue is whether the revenue model and any incentives used to drive patient behavior comply with federal healthcare laws that prohibit kickbacks to providers and patients. A recent government opinion issued to a digital behavioral health company approves a revenue and patient incentive model under key federal healthcare fraud and abuse laws and serves as a possible starting point for development of a sustainable revenue model that can be scaled as the business grows.

Advisory Opinion

Earlier this month,...

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Topics: Digital Health, Govt Agencies, OIG, Patient / Consumer, Provider, Technology
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