December 2011: Federal Appellate Court Finds in Favor of Medicare in Hadden Decision

At the end of 2010 we advised the decision in Hadden vs. U.S. was one to watch for in 2011. On November 21, 2011 the U.S. Court of Appeals for the 6 th Circuit held Medicare is not bound by principles of comparative fault when asserting its reimbursement rights under the Medicare Secondary Payer Act. Learn more..(Dec MSA Insider)

September 2011: MSPRC Announces Minimum Threshold for Medicare Conditional Payment Recovery in Liability Settlements

Medicare has implemented a $300 threshold for certain Liability Insurance cases. If all of Medicare's criteria are met, the MSPRC will not recover against the beneficiary's settlement, judgment, award or other payment. Learn more...(September MSA Insider)

August 2011: MSA Resolution Unit Targets High MSA Counter-Highers and Development Letters

As a result of high MSA counter-highers by CMS and numerous post-submission requests by CMS for updated medical records and prescription
information, MedAllocators introduced the MSA Resolution Unit earlier this year. (Learn more...(August MSA Insider)

Special Edition MAY 2011: MSRPC Issues Alert Advising of Temporary Suspension of Issuance of the Rights and Responsibilities and Demand Letters

While the Centers for Medicare and Medicaid Services and the MSPRC have not stated a reason, we believe it stems from a May 5, 2011 federal court decision from Arizona in the case of Haro v. Sebelius. (Learn More...(Special Edition MAY MSA Insider)

1st Quarter 2011: MedAllocators Introduces Revised Prescription and Treatment Addendum to MSA Reports and Launches MSA Resolution Unit - Following the initiation of CMS’s independent pricing of prescription medications in June of 2009, MedAllocators introduced what we call the Prescription and Treatment Addendum to MSA reports when indicated. (Learn More...(Q1' MSA Insider)

December 2010: Medicare Secondary Payer Compliance - YEAR IN REVIEW This has been a tumultuous year for Medicare Secondary Payer Compliance and it shows no signs of slowing down. This article will review some significant developments in Medicare Secondary Payer Compliance over the past year, actions MedAllocators has taken in response and what to watch for in 2011. Learn More...(Dec Insider)

October 2010: MedAllocators Solutions to High MSA Amounts Yield Results! It goes without saying that since the Centers for Medicare and Medicaid Services (CMS) began to independently price prescription medications starting in June 2009, Medicare Set-Aside amounts in workers’ compensation cases have increased significantly. Learn more...(Oct Insider)

July/August 2010: Funding an MSA vs. Keeping Medical Open: What is the Right Choice? But what happens when the prescription medications cannot be limited further? What if the MSA amount is still high?  Do you fund the MSA or keep medical open?  The answer in many cases will be to fund the MSA. Learn More...(Aug Insider)

June 2010: MedAllocators Identifies Nearly $2 Million in Potential MSA Reductions as a Result of New CMS Policy. As reported in the May 2010 MSA Insider , the Centers for Medicare and Medicaid Services (CMS) issued a memo stating Medicare Set-Asides (MSAs) should not include non-Medicare covered prescription medications. Learn more...(June Insider)

May 2010: CMS Vindicates MedAllocators Policy on Pricing Prescription Medications in MSAs: The Centers for Medicare and Medicaid Services (CMS) issued a memo on May 14, 2010 advising it will no longer include non-covered Medicare Part D prescription medications on Workers Compensation Medicare Set-Asides (WCMSAs). (May Insider)  

April 2010: The Centers for Medicare and Medicaid Services has been challenging to deal with the terms of development letters and pricing of prescription drugs.  This MSA Insider addresses this and offers some solutions. (April Insider)  

February 2010 SPECIAL EDITION: The Centers for Medicare and Medicaid Services (CMS) has announced a delay in the implementation of Section 111
Mandatory Reporting from April 1, 2010 to January 1, 2011.(Special Edition)

January 2010: Medicare Fires Shot Across the Bow of Settling Parties. On December 1, 2009 the federal government filed suit in federal court in Alabama (USA v. Stricker, 1:2009cv02423) seeking reimbursement against parties in a mass tort settlement involving PCB pollution.Read More..(MSA Insider Jan 2010)

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