Currently, there are two questions being litigated that involve who can sue under the Medicare Secondary Payer’s (MSP) private cause of action (PCA) provision and when “double damages” may apply. I...

Admittedly, my interest in blockchain has been fairly narrow. Given the role of PCS® in the global industry loss warranty ( ILW ) market, I’ve been particularly focused on how blockchain-enabled...

During a track at the IFoA Asia Conference 2018 last week, a speaker laid out a “future state” vision that included access to insurance-linked securities (ILS)—or at least some version of ILS—for...

Last year was a sobering year for cyber risk, with major corporations and government agencies alike hit hard by data breaches and cyberattacks that cost millions of dollars . The Equifax breach...

Up until now, Medicaid lacked the kind of mechanisms that Medicare has adopted for identifying and seeking payment recovery from responsible third parties. Yet, from a federal perspective, Medicaid...

While data risk mitigation issues continue to emerge in our industry, ISO ClaimSearch is always working to maintain the privacy and security of claims data. So to safeguard personally identifiable...

The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 non-group health plan (NGHP) User Guide ( Version 5.3, December 15, 2017 ). This new User Guide replaces...

The Centers for Medicare and Medicaid Services (CMS) has released a new Alert entitled “2018 Recovery Thresholds for Certain Liability Insurance, No-Fault Insurance and Workers’ Compensation...