Medicare Advantage Plan (MAP)
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.
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.
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.
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.
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.
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).
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.
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…
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…
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 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.…