Settlement

12/11/2023 - 17 min read

Insurers Request House Take Lead in Addressing TPLF Practices

25 insurers (and other companies) recently sent a letter to the U.S. House of Representatives regarding TPLF practices.

9/28/2023 - 19 min read

The “Protecting Our Courts from Foreign Manipulation Act of 2023” is Introduced in Congress – Proposal Targets TPLF by Foreign Persons, Foreign States, and Foreign Sovereign Wealth Funds

In an important development on the TPLF front, the Protecting Our Courts from Foreign Manipulation Act of 2023 has been introduced in the U.S Senate.

8/9/2023 - 19 min read

Closing TPLF “data gaps” – recently discussed options and considerations

Whether parties using TPLF should be required to disclose the TPLF agreement to the opposing party as part of claims litigation continues to be a hotly debated topic.

12/22/2022 - 14 min read

Is the other “M” on your radar? 5 things to know about Medicaid and how we can help!

It is no secret that Medicare secondary payer compliance issues often dominate the claims landscape and discussion.

11/9/2022 - 14 min read

Back to the drawing board: CMS’s future medicals proposals are withdrawn – where does this leave LMSAs?

As reported in our October update, the Centers for Medicare and Medicaid Services’ (CMS’s) future medicals proposals have been withdrawn.

10/31/2022 - 22 min read

U.S. Circuit Court of Appeals for the Second Circuit rules that Medicare Advantage Plans can sue insurers for “double damages” – ruling affirms the district court’s award of double damages against insurer

U.S. Circuit Court of Appeals for the Second Circuit rules that Medicare Advantage Plans can sue insurers for “double damages”

6/30/2022 - 2 min read

Claims commitment: Empowering insurers on the innovation journey

The insurance industry has experienced tremendous change in the past few years.

Simplify Streamline Innovative Solutions

3/23/2022 - 3 min read

Simplify, streamline, and automate the total loss process

When a vehicle is deemed a total loss, it can take days or weeks for the auto insurers to notify and pay the lienholder.

11/29/2021 - 4 min read

Solving the puzzle of lienholder clauses

For insurers, validating correct lienholder information on loss payable and mortgagee clauses can be a long and cumbersome process.

3/1/2021 - 2 min read

CMS to host BCRC and CRC NGHP town hall on April 1st

CMS has announced it will be holding a Benefits Coordination & Recovery Center and Commercial Repayment Center Non-Group Health Plan town hall on April 1, 2021.

12/16/2020 - 3 min read

LMSA update: CMS’s “future medicals” proposals now scheduled for release in March 2021 | New LMSA case decision highlights continuing claims challenges

LMSA update: OIRA has issued an updated noticing indicating CMS’s “future medical” proposals are delayed again and projected for release in March 2021.

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12/7/2020 - 12 min read

New case highlights how LMSA issues and questions continue to complicate liability claim settlements

In Abate V. Wal-Mart Stores East, L.P. the court found CMS’s 9/30/11 memo didn’t mandate the plaintiff get a letter from her doctor certifying treatment was completed or that settling parties create a LMSA where treatment is ongoing.

11/30/2020 - 6 min read

CMS retains $750 low dollar threshold for 2021

CMS has announced it is retaining its current $750 low dollar threshold for 2021.

11/10/2020 - 1 min read

CMS NGHP Beneficiary Recovery Process webinar December 9th

CMS has released a notice announcing that it will be holding a Non-Group Health Plan (NGHP) Beneficiary Recovery Process webinar on December 9, 2020, at 1:00 p.m. ET.

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10/23/2020 - 3 min read

Maximizing recovers boost customer satisfaction better subrogation

An effective subrogation operation is built on data and analysis.