On June 6th, I participated in a meeting with CMS officials regarding MSP related issues in Washington, DC. I also spent some time lobbying a couple of members of the House on behalf of the SMART...
In August of 2010, Pete Stark Chairman of the Subcommittee on Health for the House Ways and Means Committee sent a letter to the GAO requesting an examination of “issues surrounding Medicare...
In Frank, the United States District Court for the Western District of Louisiana addressed a motion for “Determination of Need for, and Amount of Medicare Set Aside for the purpose of complying with...
The MSPRC announced today a new option for resolving Medicare conditonal payment obligations for settlements $25,000 or below. The new option allows for self calculation of the amount and submission...
In Hadden v. US, the 6th Circuit rejected an argument for equitable distribution of a Medicare conditional payment obligation similar to Ahlborn.
CMS has once again pushed back the start of reporting of settlements with Medicare beneficiaries by insurers. It was set to start on 1/1/11. It has now been pushed back to 1/1/12.
New MSPRC self service feature announced.
Is the MSP recovery contractor going to change?
While there is no apparent legislative fix to the Medicare Set Aside conundrum, there are legislative efforts underway with regard to conditional payments with the SMART Act (H.R. 1063). As a follow...
In Wilson v. State Farm Mutual, a Kentucky federal district court found there was no bad faith where the insurer refused to pay a settlement until Medicare made a determination on the amount of the...