Medicare Set Asides: You’re Paying Too Much!

Medicare Set Asides: You're Paying Too Much! Workers’ Compensation Medicare Set Asides (WCMSAs) have become a standard feature in settling workers’ compensation claims over the past fifteen years. This year set aside  proposals for 26,000 workers’ compensation claims might be submitted to the federal government. We ...
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Did the 7th Circuit Allow Medicare Advantage Plans a More Powerful Right of Recovery than Traditional Medicare?

The 7th Circuit Court of Appeals covers Indiana, Illinois and Wisconsin.  The Central District of Illinois dismissed a lawsuit brought by an Medicare Advantage Plan (MAP)  against State Farm asserting double damages through a private cause of action when conditional payments had not been fully ...
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Bi-Partisan Legislation for Workers Compensation Medicare Set Asides (WCMSAs) Introduced to Senate June 18, 2018

Beginning 2014, Senators Portman (R-OH) and Nelson (D-FL) introduced a Bi-partisan Senate bill “[t]o amend title XVIII of the Social Security Act to provide for the application of Medicare secondary payer rules to certain workers' compensation settlement agreements and qualified Medicare set-aside provisions.” The bill was ...
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Carr Allison Sued for Failure to Resolve Conditional Payments    

A lawsuit was filed on 2/23/18 in Houston County, Alabama against a plaintiff’s law firm and Carr Allison, a Medicare compliance vendor, for failure to resolve Medicare’s conditional payments.  The plaintiff was injured in a motorcycle accident on 10/24/13.  Medicare paid all of his medical ...
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Medicare Advantage Plan is Denied Recovery and Lawyers are Sanctioned

MSP Recovery, LLC is a Miami, Florida based law firm that allegedly represents Medicare Advantage Plans (MAPs) seeking to pursue a private cause of action and therefore double damages under the Medicare Secondary Payer Act. They have filed numerous direct actions and class actions asserting ...
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