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Medicare Advantage Plan (MAP)

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September 8, 2016

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.

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August 19, 2016

Preparing for a fundamental compliance shift in liability claims

Liability claims are particularly at risk, as these emerging compliance issues impose new burdens on the management and settlement of claims.

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August 18, 2016

MSP statute extends its reach in the 11th Circuit: Foreshadowing for liability MSAs?

Undoubtedly, the 11th Circuit Court decision in Humana has obvious financial consequences to insurers.

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August 17, 2016

The impact of Medicare Advantage Plans on your claims: The risk of double damages and summary judgment

The decision will have a significant impact on liability, workers compensation, and no-fault claims being handled.

August 12, 2016

Breaking news: 11th Circuit rules Medicare Advantage Plans can sue in federal court

The Eleventh Circuit Court of Appeals expanded the rights of Medicare Advantage Organizations (MAOs) to use federal court to sue primary payers.

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June 21, 2016

New front in Medicare Advantage battle: Law firm targeted

We continue to watch closely the expansion of Medicare Secondary Payer (MSP) recovery concepts to cases involving Medicare Advantage Plans (MAPs).

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July 29, 2015

Employee spotlight: Walter Johnson

With Medicare recovery issues a top priority for our clients, we’d like to introduce you to Walter Johnson, our senior lien analyst.

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April 15, 2015

Medicare Advantage strikes again: Humana v. Western Heritage

The last few years have seen several key cases regarding the evolving issue of what rights Medicare Advantage organizations (MAOs) have when seeking recovery in a primary…

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January 13, 2015

Court: Medicare Advantage Organization can pursue reimbursement against its enrollee

In an important new Medicare Advantage case, the court in Collins v. Wellcare Healthcare Plans, Inc., No. 13-6759, 2014 WL 7239426 (E.D. La December 16, 2014) ruled that…

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December 17, 2014

Medicare Advantage update: Court rejects Humana’s request for class certification

In the case In re Avandia, MDL No. 1871, 2014 WL 6684343 (E.D. Pennsylvania, Nov. 24, 2014),1 the United States District Court denied Humana’s request for class…

Court Allows Medicare Advantage Plans Suit For Double Damages To Proceed
October 14, 2014

Court allows Medicare Advantage plan’s suit for double damages to proceed

In an important development on the Medicare Advantage (MA) front, the court in Humana v. Farmers Texas County Mutual Insurance Company, et. al, No. 13-CV-611-LY (W.D.…

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