Settlement

8/16/2016 - 5 min read

Removing impediments to settlements: Conditional payments in liability claims

While liability conditional payments can present some unique challenges, there are effective methods to remove the stumbling blocks to claims resolution.

8/12/2016 - 5 min read

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.

6/21/2016 - 4 min read

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).

6/6/2016 - 2 min read

Settlement language strikes again, new case proves clear provisions are critical

Settlement language is an important aspect of Medicare Secondary Payer (MSP) claims that demands careful consideration.

5/20/2016 - 4 min read

CMS releases new final rule: Expedited conditional payment process

On May 17, the Centers for Medicare and Medicaid Services (CMS) released its final rule on the SMART Act’s interim conditional payment process through the Federal Register, and insurers will want to become familiar with how this will affect them.

4/12/2016 - 2 min read

Unique solutions to 2016 industry challenges

Insurers are facing tough challenges in 2016 and ISO Claims Partners is working with you to meet these challenges in unique ways.

2/10/2016 - 3 min read

Liability or workers' comp? Federal Employment Acts and the MSP

When it comes to Medicare Secondary Payer (MSP) compliance, we usually make a distinction between workers' compensation and liability insurance claims. Different elements of MSP compliance come into effect depending on the insurance-type classification.

2/10/2016 - 6 min read

California Workers' Compensation claims remain open longer than any other state: Breaking down WCIRB’s recent study and how it impacts claims payers

California has the most prolonged workers' compensation medical payouts of any state in the nation, according to a recent study from the Workers’ Compensation Insurance Rating Bureau of California (WCIRB).

11/16/2015 - 4 min read

Eye on the courts: Florida’s collateral source rule does not apply to future Medicare payments

In Joerg v. State Farm Mutual Automobile Insurance Co., 2015 WL 5995754 (October 15, 2015), the Florida Supreme Court ruled that a plaintiff’s eligibility for future Medicare payments is not subject to Florida’s collateral source rule.

11/16/2015 - 3 min read

California becomes fifth state to require closed drug formulary for workers' compensation claims

California Governor Jerry Brown has signed Assembly Bill No. 1124, which mandates that the Division of Workers’ Compensation (DWC) implement a prescription drug formulary by July 1, 2017.

5/19/2015 - 3 min read

A recipe for confusion: Medicare conditional payment compliance in asbestos-related workers' compensation claims

Medicare conditional payment compliance is difficult enough. When you add complex asbestos-related workers' compensation claims to the mix, it can create a recipe for confusion for insurance carriers, self-insureds, and third-party administrators.