With Medicare facing an uncertain financial future and seniors clamoring for steps to be taken to bolster the program’s economic stability, Congress has held hearings to review how components of the program meet their statutory requirements and to hear suggestions on how the programs could be more effective. On Wednesday morning the House Energy and […]
Read ArticlePolitics were at work as Deborah Taylor, the chief financial officer of the Centers for Medicare and Medicaid Services, faced tough questioning during a House Energy and Commerce Subcommittee On Oversight and Investigations hearing regarding the financial controls applied to this aspect of Medicare – a generally complex and obscure part of the program. CQ […]
Read ArticleFor years, the Medicare Secondary Payer (MSP) process has frustrated the ability of Medicare beneficiaries and companies to resolve disputed claims. Whether the disputes have involved workers compensation claims, general tort claims, or no-fault claims (such as auto insurance), settlements have been delayed, if not prevented, due to the uncertainties of how much was owed […]
Read ArticleWASHINGTON (March 22, 2011) Congress can help consumers and Medicare beneficiaries by passing legislation reforming the Medicare Secondary Payer (MSP) system, according to the National Association of Mutual Insurance Companies (NAMIC). Introduced by Rep. Tim Murphy, R-Penn., and sponsored by Rep. Ron Kind, D-Wis., H.R. 1063, the Strengthening Medicare and Repaying Taxpayers Act (“SMART Act”), […]
Read ArticleWASHINGTON—Legislation has been introduced in the House that would clarify industry reporting requirements under an existing controversial law that requires reimbursement to Medicare for payments made to people who are also paid later through workers’ compensation or liability claims The bill, H.R. 1063, The Strengthening Medicare and Repaying Taxpayers Act, was introduced Tuesday by Rep. […]
Read ArticleWASHINGTON—Legislation introduced in the U.S. House would streamline the Medicare secondary payer system, according to a coalition of employers, insurers and third-party administrators. Section 111 of the Medicare, Medicaid, and SCHIP Extension Act of 2007 requires insurers, employers, and other entities to notify the U.S. Centers for Medicare & Medicaid Services when any workers compensation, […]
Read ArticleEarlier in 2010, the California Legislature enacted Assembly Joint Resolution 42, authored by Assembly Insurance Committee Chair Jose Solorio. This resolution, which had broad support from the business community, advocates for injured workers, and the insurance industry, including IBA West, urged the Congress to pass H.R. 4796, the Medicare Secondary Payer Enhancement Act (MSPEA) of […]
Read ArticleBradley v. Sebelius and US v. Stricker October 5, 2010 — The Medicare Advocacy Recovery Coalition (MARC) today praised two recent court decisions resolving important issues affecting the Medicare Secondary Payer (MSP) program. Both cases illustrate the difficulty of working with the current Medicare Secondary Payer laws. Courts have described the MSP laws as “convoluted […]
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