Medicare Part D
PAID Act – current status and FAQs
At this time, the industry is waiting for CMS to release its PAID Act implementation plan, which will require yet to be released technical updates to its Section 111…
The PAID Act is now law
On 12/11, the PAID Act became law. It requires CMS expand its Section 111 Query Process to identify whether a claimant is currently entitled to, or during the preceding…
PAID Act passes House, moves to the Senate
On 12/8, the House of Representatives passed the PAID Act as a stand-alone bill and as part of the BENES Act of 2019. Both bills now move to the Senate for further…
What’s up in D.C.? Medicare Secondary Payer reform efforts – status update
With the current Congressional session ending on 1/3/21, attention is on two pending Medicare Secondary Payer reform efforts: The PAID Act & the COMP Act.
PAID Act introduced in the U.S. Senate
On June 26, 2019, Senators Tim Scott (R-SC) and Ben Cardin (D-MD) introduced Senate Bill 1989 into the U.S. Senate.
PAID Act Reintroduced in 116th Congress
On 2/26/19, Congressmen Ron Kind (D-WI) and Guy Bilirakis (R-FL) reintroduced the PAID Act as H.R. 1375 into the U.S. House of Representatives.
Top 10 Medicare Secondary Payer trends in 2019
MSP compliance is rapidly evolving – policy changes, stricter regulations, new legislation, and emerging case law are making compliance more complex and challenging than…
CMS updates its Medicare prescription drug benefit manual – New changes encourage Part D collection and recovery
The Centers for Medicare and Medicaid Services (CMS) has amended its Medicare Prescription Drug Benefit Manual (Part D Manual) to add, in part, stronger language…
CMS issues new regulations aimed at identifying and limiting potential opioid abuse
On April 2, 2018, C,S issued a final rule which updated regulations for Medicare Advantage Plans (MAP) and Medicare Part D programs.
Medicare Part D - The next recovery frontier?
Spurred by a number of favorable court decisions allowing MAPs to sue for “double damages” under the MSP statute, Medicare Part D plans are now beginning to step into the…