Insights Archives - MARC Coalition

Mar 24, 2023

Letter to CMS ORM

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.

Dec 19, 2019

Fix Medicare’s Broken Secondary Payer System

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 […]

Aug 6, 2019

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

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 […]

Apr 18, 2019

Fix Medicare Secondary Payer System for Responsible Organizations Trying to Settle

BY RON KIND & GUS BILIRAKIS MORNING CONSULT Every year, an estimated 500,000 personal injury-related cases are settled in the United States, by far the largest area of civil litigation in the country. Tort cases, workers compensation claims and even auto accidents typically lead to a settlement where the liable party must pay for an individual’s medical expenses. While […]

Mar 28, 2019

Congress Must Fix the Broken Medicare Secondary Payer Process

BY RE KNACK, OPINION CONTRIBUTOR THE HILL Accidents happen every day. From a slip-and-fall at the shopping center to fender-benders on the highway, to more serious cases involving life-threatening injuries. Often these situations resolve through a negotiated settlement, where the entity alleged to have caused the accident ends up settling a portion of the individual’s claims, including claims for […]

Nov 7, 2018

CLM Magazine: Mapping Out a Course

In an article for CLM Magazine, MARC Coalition’s Heather Sanderson urges primary plans to consider best practices as courts rule in favor of Medicare Advantage Plans (MAP) recovering double damages. Sanderson astutely notes that with both the 3rd and 11th Circuit Courts finding in favor of MAPs being allowed to bring an Medicare Secondary Payer (MSP) private cause of […]

Jul 28, 2018

Morning Consult: The ‘Secondary Payer’ Program – A Medicare Fix We Can All Get Behind

In health policy, the minutia is not trivial; it’s essential. Small incentives created by policymakers can have a significant impact upon how Medicare beneficiaries, doctors, hospitals and insurers respond to health care claims. But sometimes policies — even the most well-intentioned — can have unintended consequences, leading to wasted resources, burdensome regulations and broken promises to […]

Jun 12, 2018

CLM Magazine: Time to Get Paid

MARC’s Heather Sanderson and David Farber penned an article in CLM Magazine outlining issues within Medicaid Third Party Liability (TPL) programs that can be solved by implementing the Provide Accurate Information Directly (PAID) Act. “The good news is that congress has the opportunity to get Medicaid TPL right. First, Congress should focus the data and follow the money by […]

Sep 14, 2017

CLM Magazine: A SPARC of Hope

In an article published in CLM Magazine, MARC members Greg McKenna and Heather Sanderson discuss how the SPARC Act (H.R. 1122) could bring needed changes to improve the Medicare Secondary Payer (MSP) law. “When Congress created the Part D program in 2003 as part of the Medicare Modernization Act (MMA), it failed to address secondary payer issues […]

Medicare Advocacy and Recovery Coalition