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Concierge Medicine: New Regulations and Payor Changes Impacting Hybrid Practices

Concierge Medicine: New Regulations and Payor Changes Impacting Hybrid Practices

Update: 2025-07-11
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In this episode of the #HealthLawHotSpot, 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.

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Concierge Medicine: New Regulations and Payor Changes Impacting Hybrid Practices

Concierge Medicine: New Regulations and Payor Changes Impacting Hybrid Practices

Ericka Adler