Skip to Main Content
VISUALIZE | INSIGHTS THAT POWER INNOVATION

Casualty Solutions

Cms Gender
May 1, 2023

CMS’s Query Process and non-binary/unspecified gender designations – current issues and considerations

Section 111 non-group health plan (RREs) involves the inability to submit non-binary or unspecified gender designations as part of the (CMS’s)

11th Circuit Teaser
April 26, 2023

The Eleventh Circuit dismisses a Medicare Advantage “double damages” lawsuit – court rules the MSP statute does not preempt insurer's claims-filing deadline or Florida’s no-fault pre-suit demand

In a recent Medicare Advantage recovery action, the United States Eleventh Circuit Court of Appeals in MSP Recovery Claims.

11th Circuit Teaser
April 26, 2023

Starting April 29, 2023, CMS Will Use the 2020 CDC Life Table for WCMSAs

The (CMS) has announced that beginning April 29, 2023, it will use the new 2020 CDC Life Table to calculate adjusted life expectancies in (WCMSAs).

Cms Releases Section
April 25, 2023

CMS releases Section 111 NGHP User Guide (Version 7.1, April 24, 2023)

The Centers for Medicare and Medicaid Services (CMS) has released an updated Section 111 NGHP User Guide (Version 7.1, April 24, 2023)

Second Circuit Teaser
April 25, 2023

Second Circuit dismisses Medicare Advantage “double damages” lawsuit on standing grounds – rules the insurer's Section 111 reporting did not establish liability

In an interesting new Medicare Advantage recovery decision, the United States Second Circuit Court of Appeals in MSP Recovery Claims.

Dci Teaser
March 31, 2023

Changing of the Guard: Detail Claim Information (DCI) is sunsetting and the Indemnity Data Call (IDC) will take over – what you should know

The DCI is now scheduled to sunset at the end of December 2023 and is being replaced by the Indemnity Data Call (IDC).

Florida Tplf Teaser
March 29, 2023

Florida (and other states) take aim at regulating Third-Party Litigation Funding

With the state legislative season in full-swing, Florida, along with several other states, has introduced legislation focused on regulating (TPLF).

Waiting For Cms Teaser
March 21, 2023

Waiting for CMS’s Section 111 penalties “final rule” – status, updates, and what’s next

Presently, the industry is waiting for CMS to release its Section 111 CMPs “final rule” to the public.

Medicare Commercial Teaser
March 17, 2023

Medicare’s Commercial Repayment Center (CRC) updates mailing address for Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) correspondence

Medicare’s Commercial Repayment Center (CRC) updates mailing address for Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) correspondence

Ny Expands Medical Teaser
March 8, 2023

New York expands Medical and Indemnity Data call reporting – expansion applies to all member carrier groups regardless of premium market share

New York expands Medical and Indemnity Data call reporting – expansion applies to all member carrier groups regardless of premium market share

Cms Final Rule Teaser
February 22, 2023

CMS pushes back the timeline to release its Section 111 penalties “final rule” for one-year (until February 18, 2024)

In a major Section 111 development, (CMS) has extended the timeline to release its Section 111 civil money penalties (CMP) “final rule” until February 18, 2024.

Tplf Disclosure Teaser
February 13, 2023

TPLF disclosure proposals are introduced in Kansas, Mississippi, and Montana state legislatures

Third-party litigation funding (TPLF) issues will continue to present challenges on several fronts in the new year.

New Cms Teaser
February 7, 2023

CMS makes updates to Section 111 NGHP User Guide (Version 7.0) – updates relate to upcoming changes to the NGHP Unsolicited Response File

As reported in our recent article, in early January CMS released a new version of their Section 111 NGHP Section 111 User Guide (Version 7.0, January 9, 2023).

Cms Releases Teaser
January 17, 2023

CMS releases updated Medicare Secondary Payer Recovery Portal (MSPRP) User Guide (Version 5.6) – Updates to Open Debt Report, Compromise Requests, and Go Paperless notifications

The Centers for Medicare and Medicaid Services (CMS) has released an updated Medicare Secondary Payer Recovery Portal (MSPRP) User Guide Version 5.6 (January 9, 2023).

User Guide Teaser
January 12, 2023

CMS releases Section 111 NGHP User Guide (Version 7.0, January 9, 2023) – CMS announces several new updates to kick off 2023

The (CMS) has released an updated Section 111 NGHP User Guide (Version 7.0, January 9, 2023) regarding Section 111 reporting related to non-group health plans.

You will soon be redirected to the 3E website. If the page has not redirected, please visit the 3E site here. Please visit our newsroom to learn more about this agreement: Verisk Announces Sale of 3E Business to New Mountain Capital.