Thank You for Your Trust and Confidence in Our Settlement Solutions Team

As we take a couple of days to reflect on our lives, the folks in our lives, and the significance and meaningfulness of those individuals in our lives, on behalf of Optum, I wanted to take this opportunity to say thank you for your trust and confidence in our Settlement Solutions team. We are so … Read moreThank You for Your Trust and Confidence in Our Settlement Solutions Team

MAP and PDP Private Cause of Action Suits Not Just a Fad

If you are keeping up with Medicare Secondary Payer (MSP) trends and updates, then you know that Medicare Advantage Plans (MAPs) and Prescription Drug Plans (PDPs) private cause of action suits continue to be the rage, with case law arising in federal district and circuit courts across the country. When you add the recent announcement from the Centers for Medicare & Medicaid Services (CMS) that Medicare Advantage premiums will decline while plan choices and new benefits increase, it’s no wonder enrollment is projected to reach a new all-time high with more than 36 percent of Medicare beneficiaries expected to be enrolled in Medicare Advantage in 2019. With more Medicare beneficiaries switching from Medicare Parts A and B traditional coverage to Part C Medicare Advantage coverage, more and more of these MAPs will be providing your insured, and therefore your potential claimants, with Medicare benefits related to your claim. So, if you thought MAP and PDPs’ Medicare Secondary Payer private causes of action were a fad, think again.

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New York Federal District Court Reminds that CMS Right to Reimbursement of Conditional Payments from Beneficiaries Accrue Only After a Primary Payment

On July 11, 2016, the United States District Court for the Eastern District of New York published its opinion on Sexton v. Medicare, concluding the Court lacked subject matter jurisdiction over plaintiff’s claim; thereby granting the Secretary of the United States Department of Health and Human Services (HHS) motion to dismiss. The Court reminds us … Read moreNew York Federal District Court Reminds that CMS Right to Reimbursement of Conditional Payments from Beneficiaries Accrue Only After a Primary Payment

HHS Secretary Announces Changes to Combat Nation’s Opioid Epidemic

The abuse of and addiction to opioid analgesics is a serious and challenging public health crisis in the United States. Deaths from drug overdose have risen steadily for the past two decades and are now one of the leading causes of injury death in our country. Prescription medications, notably opioid analgesics such as hydrocodone, oxycodone, … Read moreHHS Secretary Announces Changes to Combat Nation’s Opioid Epidemic