Insurance

Court Denies “Double Damages” under the MSP’s Private Cause of Action

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...

Blockchain: Getting Smarter than Smart Contracts

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...

Will Catastrophe Bonds Experience a “Retail Revolution”?

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...

Top 2018 priority: Tighter data protection

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...

Now Hear This: Medicaid Secondary Payer Recovery on the Rise

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...

ISO ClaimSearch Will Partially Mask PII to SIU-level Users in Claims Inquiry

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...

CMS Releases New Section 111 NGHP User Guide (Version 5.3)

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...

CMS Maintains its $750 Low Dollar Threshold for 2018

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...

Mind the Gap: Filling the Experience Void in Claims Settlements

The experience shortage on the horizon for insurance carriers has been well documented. Today, less than a third of the current insurance workforce is under 35 years old, 1 and it’s predicted that...

Illinois ALIR legislation signed

Illinois House Bill 2610 was signed by Governor Bruce Rauner on August 25, 2017.