The Official Medicare Set Aside Blog And Information Resource

First Circuit, Massachusetts Court: Assignee of Medicare Advantage Plan May Bring Private Cause of Action for Double Damages

Conditional Payments, Medicare Advantage, MSP Litigation on July 31, 2019
Posted by Jean S. Goldstein, JD

Earlier this month, the United States District Court for the District of Massachusetts issued a ruling on a Motion to Dismiss and Motion to Strike Class Allegations involving an insurance carrier and a Medicare Advantage Organization (MAO).  The United States District Court for the District of Massachusetts sits in the First Circuit, which includes the […] Continue

Appropriately Administratively Challenging Conditional Payments Saves Insurer from Double Damages

Conditional Payments, MSP Litigation, MSP News on June 26, 2019
Posted by Jean S. Goldstein, JD

Yesterday, an opinion on a familiar case came out of the Sixth Circuit [1].  The case is Duncan v. Liberty Mut. Ins. Co., Civil Action No. 16-CV-12570, 2019 U.S. Dist. LEXIS 106265 (E.D. Mich. June 25, 2019).  You may recall that we discussed this case previously here on our blog in August, 2018.   Last August, […] Continue

Do you Have More Questions About the New Electronic Payment Feature on the MSPRP?

Conditional Payments, Medicare Secondary Payer Recovery Portal, MSP News on April 15, 2019
Posted by Jean S. Goldstein, JD

As you may know, the Centers for Medicare and Medicaid Services (CMS) recently added new functionality to the Medicare Secondary Payer Recovery Portal (MSPRP) allowing electronic payments to be made, as discussed here on our blog.  Last week, CMS issued a document providing answers to frequently asked questions as related to the new functionality.  This […] Continue

Medicare Secondary Payer Recovery Portal Webinar Slides Available

CMS, Conditional Payments, Medicare Secondary Payer Recovery Portal on March 26, 2019
Posted by Jean S. Goldstein, JD

The slides from a recent webinar held by the Centers for Medicare and Medicaid Services (CMS) regarding the upcoming enhancement to the Medicare Secondary Payer Recovery Portal (MSPRP) allowing electronic payments are now available, and can be viewed here.  As we discussed recently here on our blog, Non-Group Health Plans (liability insurers (including self-insurers), no-fault […] Continue