Municipalities and Medicare


Is a municipality immune from conditional payment liability under the Medicare Secondary Payer Act, 42 U.S.C. §1395y(b)(8)? No. This answer may surprise claims managers for public entities, but the law provides no protection whatsoever for municipalities. Not even federal government agencies are exempt. The rationale is simple: Medicare needs to be made whole. Social Security and […]

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Navigating Medicare Secondary Payer Compliance


The Medicare Secondary Payer Act has been in place for more than two decades. During that time, much has been written regarding the requirements to comply with Medicare. Third-party administrators and self-insureds are particularly vulnerable to changes in Medicare regulations—most recently, and in particular, the State Children Health Insurance Program Extension Act. This article traces […]

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Share Your Story

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.