One question I have is in the case where a patient has a really high deductible, which in some cases is impossible for them to reach in a year. For example, a deductible of $5,000. Is there any way the provider can "cut the patient some kind of break" without it being considered a "kickback?
From what I've read, these laws are written for the benefit of the insurance companies, and have no concern for the patients involved.
Also, under the "Anti-Kickback" laws, it appears that a provider can't even waive or adjust a fee for the "working poor," or those who may not have insurance coverage, could afford to pay a reduced amount, but not the full fee amount.