Exploring the practice of offering incentives

Healthcare providers are increasingly offering incentives to attract business, but this may encourage patients to purchase medically unnecessary services or supplies to obtain the incentive. Insurers only reimburse for medically necessary services and supplies, which are eligible under the plan contract. As a result, there may be consequences for healthcare service providers who facilitate the reimbursement of medically unnecessary products or services by offering incentives, as this is viewed as an abuse of the benefit plan.