The Official Medicare Set Aside Blog And Information Resource

CMS Issues Final Rule for Medicare Advantage and Part D Pricing

CMS, Medicare Advantage, Rx/Pharmacy on May 22, 2019
Posted by Jean S. Goldstein, JD

Last week, the Centers for Medicare and Medicaid Services (CMS) issued a final rule, (CMS-4180-F) impacting Medicare Advantage Plans (MAP) and Part D programs.  The rule aims to ensure that patients have greater transparency into the cost of prescription drugs, so that beneficiaries can compare options and also enables MAPs to negotiate better prices for […] 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

MSPRP E-Payments Go Live On April 1, 2019

CMS, Conditional Payments, Medicare Secondary Payer Recovery Portal on March 14, 2019
Posted by Jean S. Goldstein, JD

Yesterday, the Centers for Medicare and Medicaid Services (CMS) held a high level overview webinar of changes coming to the Medicare Secondary Payer Recovery Portal (MSPRP), as we recently discussed here on our blog.  The webinar addressed the most recent upcoming enhancement, which will allow electronic payments to be submitted directly through the MSPRP.  As […] Continue

Efforts to Streamline the Conditional Payment Recovery Process Continue, Amidst Confirmation of Ramp up from the CRC

CMS, Conditional Payments, Medicare Secondary Payer Recovery Portal on March 5, 2019
Posted by Jean S. Goldstein, JD

Last week, the Centers for Medicare & Medicaid Services (CMS) announced two upcoming webinars, aimed at addressing payment functionalities within both the Medicare Secondary Payment Recovery Portal (MSPRP) and Commercial Repayment Center Portal.  These latest enhancements to the conditional payment recovery process will enable users of the CMS maintained portals to make electronic payments for […] Continue