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Jul 10, 2025

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

In this episode of the HealthLaw HotSpot, host Ericka Adler and Roetzel health care 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. 

To listen, download the episode on Apple Podcasts or click here. To watch the episode on YouTube, click the link below:

Watch Concierge Medicine: New Regulations and Payor Changes Impacting Hybrid Practices