Verisk Blog— Insurance Solutions

In MAO-MSO Recovery II, LLC v. State Farm , 2019 WL 6311987 (C.D. Ill. Nov. 25, 2019), [1] the United States District Court for the Central District of Illinois found that an assignee of a Medicare Advantage Plan (MAP...

The Centers for Medicare and Medicaid Services (CMS) has released its low dollar recovery threshold for 2020 via a new alert . CMS is generally required to publish an annual low dollar threshold amount according to...

The Office of Information and Regulatory Affairs (OIRA) has issued an updated notice   indicating that the Centers for Medicare and Medicaid Services (CMS) expected release of its Notice of Proposed Rulemaking (NPRM)...

The Office of Information and Regulatory Affairs (OIRA) has issued an updated notice indicating that the Centers for Medicare and Medicaid Services’ (CMS) expected release of its Notice of Proposed Rulemaking (NPRM)...

The Centers for Medicare and Medicaid Services (CMS) has issued an updated Section 111 Alert pertaining to non-group health claims (NGHP) regarding the Medicare Beneficiary Identifier (MBI) reporting.    Through CMS’s...

Insurers are constantly seeking ways to enhance efficiency and contain costs in claims operations. Sure, technology has helped streamline processes and reduce some expenses, but many carriers still struggle to manage...

For years, we’ve been hearing about the impending talent crisis in the insurance industry. Statistics indicate that a significant number of experienced insurance professionals are nearing retirement, and with industry...

Until recent years, implementing automation improvements in insurance processes seemed a futuristic dream available only to carriers with the biggest IT and R&D budgets. Today, thanks to economies of scale brought to...

For years, the Liability Medicare Set-Aside (LMSA) issue has been the source of much debate and frustration for liability claims payers. To date, there remain lingering questions on several fronts and the Centers for...

On November 6 th , the Centers for Medicare and Medicaid Services (CMS) held an informational webinar entitled  Workers’ Compensation Medicare Set-Aside (WCMSA) Electronic Attestation Enhancement for Professional...