Monday, February 23, 2009

Health Care Marketing: Attorney Comments On Wellcare's Sanctions And Suspension

The WSJ Health Blog has an excellent article on the recent happenings to Wellcare, a Florida based publicly traded company, which is a Medicare and Medicaid HMO. CMS has suspended Wellcare from enrolling new beneficiaries due to misleading marketing including door-to-door solicitation and high number of complaints. See:

The sanction letter from CMS to Wellpoint is posted here and it is educational on the rules and regulations governing marketing by Medicare and Medicaid providers:

The advantage of being a publicly traded company is that if these accusations had happened to an individual provider -- criminal charges would have already been filed or the provider number would have been suspended. Or payments would have simply been stopped. Wellcare already had a search warrant executed by the FBI in 2007. They are still in business even if they are limping.

Any questions or comments should be directed to: Tracy Green is a principal at Green and Assocciates in Los Angeles, California.  They focus their practice on the representation of individuals, businesses, licensed professionals, with an emphasis on health care professionals and providers.


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