The Patients Over Profit Act prohibits common ownership of health insurance issuers and certain Medicare providers.
The Patients Over Profit Act, also known as the POP Act, prohibits any person from owning, operating, or controlling both a health insurance issuer and an applicable provider or management services organization under Medicare. Applicable providers include entities receiving payment for services covered under Medicare Part B or Medicare Advantage plans, excluding hospitals, critical access hospitals, rural emergency hospitals, suppliers of durable medical equipment, prosthetics, orthotics, and supplies, and pharmacies.
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- Core Provisions
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- Legal Framework
- Critical Issues
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