September 5, 2012
Court approves liability MSA as adequately protecting Medicare's interest while promoting public policy in favor of settlements. | Learn more
July 24, 2012
New Jersey District Court holds that release need not contain language on MSP compliance where there was no contract for such as part of the settlement. | Learn more
August 1, 2012
CMS circulates a memo to its field offices regarding the effect of the recent June 2012 pronouncement that TENS units are no longer covered by Medicare in connection with chronic lower back pain for purposes of workers' compensation Medicare set-aside calculations.
July 17, 2012
Ametros Financial, the strategic partner that "powers" the Providio MSA CareGuard professional MSA administration service, has successfully secured a U.S. Patent for the technology that ensures the accuracy, efficiency, and cost-effectiveness of the valuable MSA administration services. | Learn more
July 11, 2012
New Jersey Department of Labor and Workforce Development drops requirement for Workers' Compensation MSAs to be approved by CMS citing that CMS and the Department of Justice have taken the position that the WCMSA submittal/approval process is purely voluntary. | Learn more
June 28, 2012
The U.S. Court of Federal Appeals for the Third Circuit Finds Part C Medicare Advantage Plans Have Same Rights as CMS When Seeking Recovery from Primary Payer. | Learn more
June 22, 2012
In Viale v. Lockheed Martin the Court found that the plaintiff's attorney was entitled to a contingency fee based on the full settlement value of the case, including the workers' compensation Medicare set aside amount. | Learn more
June 21, 2012
The implementation timeline and mandatory TPOC thresholds for liability insurance (including self-insurance) have been revised. | Learn more
June 20, 2012
CMS Seeking Comments on Suggested Options for MSP Compliance Guidelines. Insurance Carriers, Law Firms, Self-Insureds and TPAs are strongly encouraged to review the proposed guidelines and submit your comments. | Learn more
June 4, 2012
Bertrand v. Talen's Marine & Fuel, LLC provides us with another case where CMS declined to review a liability MSA and a Court stepped in finding that a liability MSA is an appropriate tool to adequately take Medicare's interest into account in compliance with the MSP Act. | Learn more
May 13, 2012
Where mediation agreement isn't specific, liability MSA not required to take Medicare's interest reasonably into account. | Learn more
April 30, 2012
Congressmen David Reichert (R-WA) and Mike Thompson (D-CA) introduced H.R. 5284, which states it is to amend section 1862 of the Social Security Act with respect to the application of Medicare secondary payer rules to workers' compensation settlement agreements and Medicare set-asides under such agreements. The only status on the bill was a referral to the Committee on Ways and Means and the Committee on Energy and Commerce. | Learn more
April 17, 2012
Florida Supreme Court Action Regarding Lien Resolution Outsourcing. | Learn more
April 16, 2012
The MSPRC has announced that it will activate its Medicare Secondary Payer Recovery Portal ("MSPRP") website for conditional payments in July 2012. | Learn more
April 13, 2012
Maryland Workers' Compensation Incentives for MSAs utilizing Structures or Professional Administration. | Learn more
April 12, 2012
Providio MediSolutions, Ametros Financial and Integrated Financial Settlements Announce Joint Partnership to deliver Providio MSA CareGuard, a market leading professional MSA administration solution. | Learn more
April 11, 2012
In 2010, Congressman Pete Stark requested the GAO examine the issues surrounding Medicare Secondary Payer rules as they apply to Non-Group Health Plans (e.g., liability and workers' compensation insurers/self-insureds) due to concerns involving interactions with CMS on issues where Medicare is the secondary payer. The result was a 47 page GAO report published in March of 2012. 2010 letter from Rep. Pete Stark. | Learn more
April 04, 2012
Court Finds Legal Malpractice Insurer Exempt from MMSEA Reporting. | Learn more
March 26, 2012
In Hearn v. Dollar Rent a Car, a Georgia Appellate Court looked at issues surrounding whether a Defendant could put Medicare on a settlement check as a co-payee. | Learn more
March 22, 2012
Court Dismisses Suit Alleging Medicare is Primary to No-Fault Insurers. | Learn more
March 15, 2012
Court Finds Liability MSA Adequately Protects Medicare's Interest. | Learn more
March 7, 2012
Spouses May Be Entitled to Portion of Medicare Set Aside Funds in Divorce. | Learn more