Medicare Secondary Payer

2017 Medicare Watch List

As the first quarter of 2017 comes to an end, it’s clear there will be no shortage of Medicare Secondary Payer (MSP) developments to keep an eye on this year. Here’s an outline of a few MSP events ...

Clues to CMS future gleaned from WCRC solicitation notice

The Centers for Medicare & Medicaid Services (CMS) moved forward with requests for proposal regarding the Workers’ Compensation Review Contractor (WCRC) contract by releasing a full solicitation...

Important SSNRI News at CMS Forum

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) requires the Centers for Medicare & Medicaid Services (CMS) to remove Social Security numbers (SSNs) from Medicare cards before the...

CMS Updates Medicare Secondary Payer Recovery Portal

On October 11, 2016, the Centers for Medicare and Medicaid Services (CMS) released a new, updated version of the Medicare Secondary Payer Recovery Portal (MSPRP) User Guide. As many of our readers...

New WCRC contract bid could indicate expansion of MSAs beyond workers' compensation

On September 6, the Centers for Medicare and Medicaid Services (CMS) updated a previously released pre solicitation notice regarding a new contract for the Workers’ Compensation Review Contractor...

Medicare Advantage Plans Allowed to Sue No-Fault Carriers for Private Cause of Action

New Ruling Likely to Lead to More MAP Lien Claims against PIP Insurers Following on the heels of its recent Humana v. Western Heritage decision, the United States 11th Circuit Court of Appeals 1 ha...

Preparing for a Fundamental Compliance Shift in Liability Claims

As part of this series, we previously outlined the new dual threats of Medicare Advantage Plans (MAPs) and Liability Medicare Set-Asides (LMSAs). Liability claims are particularly at risk, as these...

MSP Statute Extends Its Reach in the 11th Circuit: Foreshadowing for Liability MSAs?

In our first blog post on this topic, we outlined the new and emerging risks and complications presented by Medicare Advantage Plans (MAPs). As previously indicated, the 11th Circuit Court of Appea...

The Impact of Medicare Advantage Plans on Your Claims: The Risk of Double Damages and Summary Judgment

As outlined in our previous blog post , the 11th Circuit Court in a 2-to-1 decision joined the Third Circuit in finding that Medicare Advantage Plans do have private cause of action rights under th...

Breaking News: 11th Circuit Rules Medicare Advantage Plans Can Sue in Federal Court

In a broad ruling released on August 8, the Eleventh Circuit Court of Appeals expanded the rights of Medicare Advantage Organizations (MAOs) to use Federal Court to sue primary payers and receive...