Medicare Secondary Payer Act News

CMS Rules on Settlement Reporting May Sting Insurers and Claimants Both

For years, the federal agency that runs Medicare has been building a trap to snag any settlements that would force taxpayers to pick up the for tab for medical care that should have been paid by others. The Centers for …

SPAC Deal Generates Millions for Lawsuits Against Insurers That Stiffed Medicare

Wall Street’s latest blank-check company promises to be a litigation finance nightmare for property and casualty insurers. MSP Recovery, a Miami-area company that earns revenue by winning lawsuits against insurers, merged with a special purpose acquisition company in July. Last …

Claims Business: Davies, Verisk, Insurity and CIRMA

Davies Acquires TriPlus Davies, an International professional services and technology business based in London, as acquired Boston-based TriPlus Service Inc. TriPlus provides its long term care carrier clients with claims and policy administration management solutions as well as actuarial and …

Appellate Court Revives Medicare Secondary Payer Act Suits by Collection Agents

A federal appellate panel’s ruling opens the floodgates for hundreds of lawsuits filed by collection agents that are seeking billions of dollars in double damages from insurance carriers that are accused of failing to pay for care that ended up …

Court Rejects Deadline Asserted by Insurer in Secondary Payer Act Dispute

Insurers cannot rely on an apparent three-year deadline within the Secondary Payer Act to protect themselves from litigation if they don’t reimburse Medicare for all expenses paid on behalf of a beneficiary, a federal appellate court in Atlanta ruled. The …

Viewpoint: CMS’ Liability Medicare Set Aside Proposal is Bad Policy

It’s a scenario every senior citizen fears—getting seriously injured in an accident. Whether it’s a slip and fall at the grocery store or getting hit by a car crossing the street, the question of “who pays?” often isn’t far from …

How New Technology Can Modernize the Painfully Outdated MSA Process: Viewpoint

Ask claims adjusters what they think of Medicare Set-Asides (MSAs) and you’ll likely get a wide range of answers. While most would agree, in theory, that MSAs serve a valid purpose, the way they are constructed today is labor-intensive, slow, …

MSP Changes Include Penalties, Review Criteria, Double Damages: Viewpoint

As we approach the halfway point of 2019, Medicare Secondary Payer (MSP) continues to be one of the most rapidly evolving areas of compliance in claims. On the horizon are possible significant changes relating to each compliance point: Section 111, …