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:

  1. Repeal MSP Private Cause of Action:
    Pass and Enact the Repair Abuse of Medicare Secondary Payer (MSP) Payments (RAMP) Act Legislation 
  2. Treasury Offset Program (TOP):
    Resolve the Critical Flaws in the TOP Program. 
  3. Ongoing Responsibility to Pay for Medicals (ORM):
    Reform Section 111’s Ongoing Responsibility to Pay for Medicals (ORM) 
  4. 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
Senior Couple With Doctor


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

Steve Franck

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.

Steve Franck

Contact MARC

If you are interested in learning more about MARC or have any questions about our organization, please contact us


MARC Celebrates Bicameral and Bipartisan Introduction of the RAMP Act in Congress

May 17, 2023

Washington, DC (May 17, 2023) Today the Medicare Advocacy Recovery Coalition (MARC) applauded Senators Tim Scott (R-SC) and Maggie Hassan (D-NH) and Representatives Brad Schneider (D-IL) and Gus Bilirakis (R-FL) for introducing the Repair Abuses of MSP Payments Act (RAMP Act, S.1607/H.R.3388) in the U.S. Senate and the U.S. House of Representatives, respectively.

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Letter to CMS ORM

Mar 24, 2023

The MARC Coalition recently submitted a letter to the Center for Medicare and Medicaid Services, outlining three specific requests for how the ORM program could be reformed in a beneficial manner for all stakeholders.

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Medicare Advocacy Recovery Coalition (MARC) Urges Beneficiaries to Support Legislative Reforms to Improve Medicare Secondary Payer (MSP) Program

Feb 22, 2023

WASHINGTON, DC – February 22, 2023 – Established in 2008 with a mission to improve the Medicare Secondary Payer (MSP) program, the Medicare Advocacy Recovery Coalition (MARC) has unveiled a new website aimed at improving their critically important work.

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The PAID Act is Now the Law

Dec 11, 2020

The Medicare Advocacy Recovery Coalition (MARC) thanks the Congress for passing the PAID Act (H.R. 1375, Section 1301 of H.R. 8900) on December 11, 2020.  The bill was brought to the House Floor and passed by voice vote on December 8, 2020. 

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Growing Number of Organizations Urge Congressional Support for the Paid Act

Sep 30, 2020

In a letter addressed to Senators Tim Scott (R-SC) and Ben Cardin (D-MD), seventeen organizations and companies representing the Medicare Secondary Payer-regulated community urged Congress to pass the bipartisan Provide Accurate Information Directly (PAID) Act (S.1989/H.R.1375).

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MARC Urges CMS to Revise Section 111 Penalties Proposed Rule

Apr 21, 2020

In comments to the Centers for Medicare & Medicaid Services (CMS), the Medicare Advocacy Recovery Coalition (MARC) today urged the agency to substantially revise its proposed rule establishing penalties for Medicare Secondary Payer (MSP) late reporting.

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Insurers could face stiff Medicare secondary payer penalties

Feb 26, 2020

By Angela Childers Business Sources A long-awaited proposed rule regarding late reporting of Medicare Secondary Payer data could mean potentially significant penalties for workers compensation insurers, self-insured entities and others.​The Centers for Medicare & Medicaid Services released the proposed rule for Section 111 reporting on Feb. 18 — seven years after it first accepted comments on […]

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MARC Statement Concerning Section 111 Penalties Proposed Rule

Feb 18, 2020

WASHINGTON, DC – The Medicare Advocacy Recovery Coalition (MARC) Chair Re Knack today issued the following statement regarding the Centers for Medicare and Medicaid Services (CMS) release of a proposed rule concerning how it will assess penalties for Medicare Secondary Payer (MSP) late reporting: “Late last week the Center for Medicare and Medicaid Services released […]

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Fix Medicare’s Broken Secondary Payer System

Dec 19, 2019

By Roy Franco Inside Sources The deadline has come and gone, and Congress is still working on funding the government for the fiscal year. In late November, lawmakers passed a continuing resolution to give themselves another month to pass required appropriations bills, but important questions remain on how to fund key tax and spending proposals.  No […]

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Viewpoint: CMS’ Liability Medicare Set Aside Proposal is Bad Policy

Aug 06, 2019

By Nathaniel F. Wienecke Claims Journal It’s a scenario every senior citizen fears—getting seriously injured in an accident. Whether it’s a slip and fall at the grocery store or getting hit by a car crossing the street, the question of “who pays?” often isn’t far from anyone’s mind. Luckily for most Medicare beneficiaries, there is […]

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People in a business meeting


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