I tried everything I could think of to get the issue with Medicare resolved, but at the end of the day, a simple coding issue prevented me from getting the care I needed for my back for entirely too long.
Medicare Advocacy and Recovery Coalition
POLICY PRIORITIES
MARC strives to ensure that all stakeholders affected by the federal Secondary Payer law can work within an efficient and comprehensive statutory and regulatory system that provides timely resolution of disputes and the fair reimbursement of Medicare beneficiary claims involving secondary payer issues.
To achieve this mission, MARC’s 2023 policy priorities are focused on the following issues:
- Repeal MSP Private Cause of Action:
Pass and Enact the Repair Abuse of Medicare Secondary Payer (MSP) Payments (RAMP) Act Legislation - Section 111 Penalties:
Advocate for the Revision of the Section 111 Civil Monetary Penalties Proposed Rule - Treasury Offset Program (TOP):
Resolve the Critical Flaws in the TOP Program. - Ongoing Responsibility to Pay for Medicals (ORM):
Reform Section 111’s Ongoing Responsibility to Pay for Medicals (ORM) - Future Medicals in Liability Cases:
Advocate for CMS to recognize settling parties’ fair voluntary allocation of personal injury and other liability action settlement funds to provide certainty for beneficiaries
ABOUT MARC
The Medicare Advocacy Recovery Coalition (MARC) is a national Coalition advocating for the improvement of the Medicare Secondary Payer (MSP) programs.
The Coalition is dedicated to building collaborative partnerships and strategic alliances with beneficiaries, affected companies, and a wide range of other stakeholders to work with the Congress and government agencies to recommend solutions and implement MSP reforms that will improve the process for all, especially Medicare beneficiaries.
MARC was formed in 2008 by industry leaders who saw a critical need to improve the failing MSP system. Since the Coalition’s inception, MARC has been instrumental in achieving legislative and regulatory reform on important MSP issues. Learn more about MARC’s policy accomplishments.
MARC’s membership represents virtually every sector of the MSP regulated community, including plaintiffs and defense attorneys, brokers, insureds, insurers, insurance, and trade associations, self-insureds, and third-party administrators.
Tell Us Your Story
Medicare Beneficiaries Impacted by Medicare Secondary Payer (MSP) Laws
The MSP system is broken, and Medicare patients are often left hanging in the balance. If a Medicare beneficiary is injured and another entity is required to pay for their healthcare expenses – such as in a tort case, workers compensation claim, or auto insurance payment – there can often be significant disruptions in the future of that person’s medical care. For example, someone injured in an auto accident could have Medicare deny coverage for an unrelated surgery years later.
- Have you struggled to have Medicare claims paid after settling a workers compensation case?
- Did you get reimbursed after an accident, then struggle with Medicare on a future claim?
- Have you been denied coverage by Medicare after being reimbursed from an automobile injury?
If you are a Medicare beneficiary and any of these issues occurred with your Medicare claim, please tell us your story. Your personal experience will help MARC advocate for positive change and seek much needed MSP reform on Capitol Hill. We will not use your identifying information without your consent.
Story Highlight
Contact MARC
If you are interested in learning more about MARC or have any questions about our organization, please contact us
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JOIN MARC
MARC is the leading Washington-based advocacy coalition focused on legislative and regulatory initiatives to reform federal secondary payer programs and policies. Coalition membership is open to any organization impacted by the Medicare secondary payer laws.
Current membership includes retailers, insurers, attorneys, brokers, insureds, trade associations, self-insureds and third-party administrators.
MARC members participate in Secondary Payer policy decision-making at the federal level and receive the most current and up to date information about new developments in the area. Members establish the policy direction of the Coalition and are active participants in meetings with Congressional leaders and government officials on behalf of MARC