Medicare’s Coordination of Benefits Energizes Prescription Part D Plans to Recover Conditional Payments

Issue We have observed an increase in notices being provided to workers’ compensation, no-fault auto and premises coverages, liability insurers, and claimants in recent months requesting information so that coordination of benefits (COB) can occur for claimants who are current Medicare beneficiaries. In an effort to get to the bottom of the frequency of these … Read moreMedicare’s Coordination of Benefits Energizes Prescription Part D Plans to Recover Conditional Payments

A Formal Review Program for Liability/No Fault MSAs Is Back

As anticipated, implementation of a formal voluntary Liability Medicare Set-Aside (LMSA) and No-Fault Medicare Set-Aside (NFMSA) review program is at the forefront once again. A proposed rulemaking,  Miscellaneous Medicare Secondary Payer Clarifications and Updates, has been posted by the Office of Management and Budget, which states that A Notice of Proposed Rulemaking (NPRM) will be issued by September 2019.

Read moreA Formal Review Program for Liability/No Fault MSAs Is Back